Sheehy Ankle & Foot Center
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Save time in the office by completing the forms below and bringing them with you to your appointment.
Update your list of allergies, medications, and preferred pharmacy.
Update your COVID-19 exposure.
Calculate your risk of falling.
Provide your authorization to release your medical records to requesting parties.
Assess your risk of Peripheral Artery Diseases.
Update your information with the office.
Confirm receipt of Privacy Policy.
Indicate your current health status.
Authorize your insurance companies to pay for your treatment.
