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Alaska Regional Hospital
Medical Office Bldg C
2741 DeBarr, C-315
Anchorage, AK 99508


907-562-4958    phone
907-562-5195    fax

Alaska Podiatry Associates

New Patient Information

Welcome New Patients!

In order to serve you better and faster we have provided our Authorization Form, New Patient Form, and Medical History Form online.

Instructions: Click on the links below to access the Authorization From, New Patient Form and the Medical History Form. After you click the link, a new browser window will open. After it opens, click on the 'PRINT' icon on your browser. After the form prints, fill them out and bring them into our office. Completing the forms will save you time on your initial visit!

*You must have an Acrobat Reader to view the Acrobat files. If you don't already have Adobe Acrobat, you can download the Acrobat Reader Free.

<- New Patient Information

 ·New Patient Information Form*

 

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