Ohio Podiatry
Ohio Podiatry

    

New Patient Information

Associated Foot and Ankle Specialists is accepting new patients. Most insurance plans are accepted. Please call our office regarding your insurance questions. Insurance verification is recommended prior to your appointment.

New Patient Information Forms:

Click on the links below to access the New Patient Forms. After you click the link, a browser window will open. After it opens, click on the 'PRINT' icon on your Browser. After the forms print, fill them out and bring them to your first appointment. Completing the New Patient Information Forms will save you time on your initial visit!

Download Document
Format
New Patient Registration Form*
Patient Satisfaction Survey*
Notice of Privacy Practices

*You must have an Acrobat Reader to view the Acrobat files. If you don't already have Adobe Acrobat, you can download the Acrobat Reader Free.