FORMS & INSTRUCTIONS

Here you’ll find forms and patient instructions to download and print as needed. The downloadable PDF forms below require Adobe Reader for viewing. If you don't have Adobe Reader, click the icon above to download and install the free version of their software.

FIRST VISIT PREREGISTRATION FORMS

These are required of all patients on their first visit. You can save valuable appointment time by downloading, completing and bringing these forms with you. 

Release of Protected Health Information – To Family & Friends

 – If you have a friend or family member that you would like to have the ability to obtain information on your behalf, please fill out this form. If you do not, simply write, "do not release information without my express consent" and sign.
 Rheumatology Health History — Rheumatology patients only.

MEDICAL RECORDS RELEASE FORM

 Authorization for Use & Disclosure of Protected Health Information – Download and fill out if you need to authorize the release of your medical information to professional staff, specific organizations, or yourself.

PRE-OPERATIVE INSTRUCTION SHEETS

    MISCELLANEOUS OPA POLICIES  

     Internet Information Security - currently being updated

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    Anchorage, 562-2277 | Eagle River, 562-2277 | Wasilla, 357-2267