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Patient Forms

Save yourself time in the waiting room.  Click on the images below to download, then print and fill out your forms prior to your visit.  
Don't have a printer?  Don't worry, you may complete your paperwork on the day of your appointment. Please show up 20 minutes before your appointment to help avoid delays. 
Patient Insurance Form


This form is necessary to allow us to bill your insurance company to help avoid unnecessary charges. 

Patient Medical History Form


Let Bay Foot and Ankle Center provide you the best possible care by providing all of your past medical history. 

Patient Notice of Privacy Form


Know your rights.  Read and sign this form before your first visit.

Release of Medical Information Form


If you are an existing patient and need to have your medical information released please complete this form.

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