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Patient Information
Doctor and Patient

Patient Info & Forms

What to Bring to Your Appointment

​Welcome to Affiliated Foot and Ankle Surgeons

  • Patient's Health Insurance Card(s)

  • Photo ID

  • Primary Care Doctor's name and telephone number

  • Referral From Your Primary Care Doctor (If Required By Your Insurance Carrier)

  • List of current prescriptions and/or over-the-counter medication, including dose and frequency

  • Information about patient's medical and surgical history

  • Any Previous X-Rays, MRIs or Test Results Relating To Any Past Foot Health Conditions



If you are unable to keep an appointment, we ask that you kindly provide us with at least 24 hours notice. We ask for this advance notice so that we can offer this appointment to another patient. A fee may be charged if a patient does not show up for an appointment without sufficient notice.

Insurance Payment Information

You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our office. Questions regarding insurance coverage & benefits should be directed to your employer or insurance company. Insurance AFAS accepts:

  • Aetna

  • Anthem

  • Blue Cross Blue Shield

  • Cigna

  • Connecticare

  • Empire

  • GHI

  • GHI

  • Medicare

  • Oxford

  • PHCS

  • Tricare

  • United Healthcare

  • Others – call AFAS for coverage verification

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