Ankle and Foot Centers of Missouri, P.C. welcomes you to our office. After you set-up an appointment, there are some specifics regarding patient information and information about our procedures for new and existing patients, which you should review.

New Patients

If you are a new patient, there are a few registration forms you will need to complete. As with any new appointment with a physician, it’s important that we obtain patient demographics, patient history, authorization to release medical benefits, and protected health information consent forms. You will also want to review and complete our financial policy form.

For your convenience, please complete and bring the completed forms with you at your appointment.

When you come to your first appointment, remember to bring these items:

  • Your insurance card
  • Photo ID
  • Any applicable co-pays
  • Physician referral (if needed)

Print New Patient Forms

pdf podiatry patient form downloadPrint Patient Information

pdf podiatry patient form downloadPrint Patient Review

pdf podiatry patient form downloadPrint Notice of Privacy Practices

pdf podiatry patient form downloadPrint Financial Policy

Established Patients

If you are an existing patient and will be returning for follow-up appointments, it is important to bring your insurance card, applicable co-pay, and referral if needed.

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