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  • Home
  • About Us
  • Meet the Doctors
    • Meet Dr. Brarens
    • Meet Dr. Cullum
  • Conditions We Treat
  • Treatments & Surgery
    • Total Ankle Joint Replacement
    • Limb Lengthening
    • Foot and Ankle Fracture Repair
    • Other Treatments
  • On-Site Services
    • Pediatric Services
    • Custom Orthotics and Braces
  • Workers’ Compensation
  • Your First Visit
  • Urgent Care
  • Contact Us

Patient Forms

man filling out a form

Your first appointment at SureStep Foot & Ankle Medical Center in Cincinnati is even easier thanks to our online forms. To expedite your visit, please download and print the applicable forms, fill them out and bring them in for your first appointment or any time your care requires it.

New Patient Form
Consent to Treat a Minor
Medical Records Request

Please note: It may take a few minutes to load the forms if you are using a dial-up internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

Disclaimer: If you register, make an appointment or submit any other information online, all your information is transmitted securely and is held in strictest confidence, adhering to HIPAA guidelines and protecting your privacy.

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Patient Education

We invite our patient community to view our patient resources to learn more about your medical condition.

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Testimonials

Get to know what our patients have to say about our care.

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Satisfaction Survey

Let us know how we are doing by completing our satisfaction survey about our medical care.

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Sure Step Foot and Ankle Medical Center is a proud member of the Ohio Foot and Ankle Specialists network of practices .

Phone (appointments and general inquiries): 513-489-2400
Address: 11821 Mason Montgomery Rd Ste 4b Cincinnati, OH 45249 | 8111 Cheviot Rd. Cincinnati, Ohio 45247

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The foot and ankle specialists at SureStep Foot & Ankle Medical Center, provide comprehensive services such as Total Ankle Joint Replacement,  Limb Lengthening, Foot & Ankle Fracture Repair, Flat Foot Reconstruction, Bunion Repair, and Plantar Fasciotomy for foot and ankle conditions.