Ohio Podiatry
Ohio Podiatry

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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.

Patient Portal

Please complete and submit this form along with copies of required legal documents to authorize AFAS to email an invitation to create a portal account.

Download Document
Format
Patient Portal Personal Account Access*

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.