Patient Forms

New Patient Forms - Ability Foot & Ankle

Ability Foot & Ankle has provided the following forms for you to download and print at your location.  Please be sure to bring the completed forms to your appointment. If you should have any questions, please contact our office at 859-746-3668 during normal business hours.

Medical Health History

Patient Demographics

Privacy Policy

Authorization to Release Medical Information

HIPAA Compliance, Medicare, and Other Office Policies 

Understanding Deductibles, Co-insurance, and Co-pays

Financial Responsibility