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Ankle & Foot Centers of America
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For the convenience and privacy of our patients, Ankle & Foot Centers of America has made our most common patient forms available for download. If at all possible, please download and complete these forms in the comfort and privacy of your home prior to your appointment, and then bring them with you to your visit. Please arrive 15 minutes early and bring your insurance card, photo identification card, and a referral if required by your insurance. Please bring an updated medication list and any MRI’s or x-ray’s .  All co-payments are due at the time of your visit. We accept the following as form of payment; cash, checks,Visa, Mastercard, and Discover credit cards.

Patient Forms

  • New Patient Registration Forms 2023 (PDF format) 
  • Privacy Policies and Practices ( PDF format )

*If you do not have Adobe Acrobat installed, you may click below to download and install the free Adobe file viewer. Note: If you click on a document above and a blank page is displayed, then you may have to click the “Refresh” button on your browser to reload the document. Download and Install the free Adobe Acrobat Reader

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