Serving Mobile County, Baldwin County,

Washington County, Clarke County, and Monroe County

Alabama-Foot-Specialists,-PC-LOGO Patient Forms

Alabama Foot Specialists, PC looks forward to meeting with you to discuss your foot and ankle issues. Call us at 251-661-3332 to schedule your appointment. Please complete the forms below and bring them along with you when you visit us.


Alabama Foot Specialists Patient Form


Alabama Foot Specialists Privacy Policy

  • Insurance card(s)

  • Referral forms (if required)

  • List of all prescription and over-the-counter medications that you are currently taking

  • Any required co-payment

  • Pertinent medical and surgical history information

  • X-ray films

What to bring to your appointments


Helpful tips for our patients

Get ready for your first appointment with Dr. William S. Rogers by filling out our patient forms.

Patient info