Orthopedic Physicians Anchorage

Patient Forms

	To prepare for your first appointment you may download, complete, and bring these forms with you to your appointment. The downloadable PDF forms below require Adobe Reader for viewing. If you don't have Adobe Reader, click here to download and install the free version of their software. First Visit Forms Health History - (94k PDF) Payment Policy Acceptance - (108k PDF) Release of Patient Information - (82k PDF) If you have any person in your immediate family 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 - (66k PDF) Consent to Release Forms Consent to Release Health History Information - (118k PDF) Download and fill out if you need to authorize the release of your medical information to professional staff or organizations. Consent to release of Patient Information - - (82k PDF) If you have any person in your immediate family that you would like to have the ability to obtain information on your behalf, please fill out this form.