Associated Foot Surgeons

Patient Forms

Download and complete the forms you need at home. Bring them with you to your appointment. Call our office if you need help.

New Patients, please download and complete the following three forms prior to your first appointment.

New Patient Medical Information

Patient’s Information, Insurance, and HIPAA

Release of Medical Information

Current patients, if you need to update your information with us, please complete the form below and bring it in to your next appointment.

Update Patient Information
Download our current Privacy Policy here.

Privacy Policy
Download our Surgical Instructions, Belleville Surgical Center Medical Clearance, and Belleville Surgical Center Patient Login Guide here.

AFS Surgical Instructions BSC Medical Clearance BSC Patient Access Guide