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237 E Fireweed Ln. #101 Anchorage, AK 99503 (907)276-3804

Document Center

Save time during your first visit by filling out our New Patient forms online. Forms are available in digital format and can be filled out online on your phone or computer. Please call or text us to request a link to the digital forms. 907-276-3804

Or, if you prefer paper copies of New Patient Forms, see the forms below:


General Consent for TreatmentDownload
Patient Registration InformationDownload
Medical History AASDDownload
Financial AgreementDownload
Notice of CompliancyDownload
Receipt of notice of privacy practicesDownload
New Patient Records ReleaseDownload
The Records Release form will give us permission to use dental records, radiographs, and more from your past providers, making this a smoother transition for you and your family.