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

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Helpful tips for our patients

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

Patient info