Patient Forms

If you are a new patient to our office, the attached file contains our new patient bundle with forms that will need to be filled out when you arrive at our office. Printing them, filling them out and bringing them with you will allow us to attend to your medical needs more quickly than completing them on your arrival.  Thank you and please call our office if you have any questions at all.


If you need to request to have your medical records released, the attached file contains a records release request form that needs to be filled out. Please complete and sign the request form before you turn it in to our office.  You can either mail or fax the completed form to our office.

You can mail the completed form to:     OR     You can fax the completed form to: #702-256-0387

Summerlin Foot and Ankle

3320 North Buffalo Dr., Suite 107

Las Vegas, NV 89129


This web site uses files in Adobe Acrobat Portable Document Format (pdf) which require Adobe® Acrobat® Reader for viewing and printing. It is available to download free.