New patient forms for first time patients and patients needing to update their paperwork at Gaston Foot & Ankle Specialists

New Patient Forms

Please fill out the New Patient Forms before coming to see us at Gaston Foot & Ankle Specialists, so we can expedite your first visit. We have made exciting updates to our Electronic Medical Records System. Please use the Patient Portal – Online Forms link below to direct you to a portal to fill out your information online quickly. Doing this ahead of your visit will make your first visit seamless.

Patient Portal – Online Forms

Please bring the following to your appointment:

  • Driver’s License or State ID
  • Insurance Card
  • Co-Pay (due at time of appointment)
  • List of current medications

For your convenience, a large print and Spanish text version of our forms is also available. You only need to fill out one set of forms.


Large Print Forms

Spanish Forms
Please do not print forms on colored paper, thank you.

Please bring the following to your appointment:

Driver’s License or State ID
Insurance Card
Co-Pay (due at time of appointment)
List of current medications

We look forward to your visit!


Gaston Foot & Ankle Specialists

251 Wilmot Drive
Gastonia, NC 28054
704-861-0425