Patient Information & Documents

Thank you for trusting us with your neurological concerns. We promise to do our best to provide you with the finest care available. Please arrive early so that we may compile your initial paperwork. If you wish to complete the new patient registration packet in advance, please download it from the list below:

Downloadable Forms:


Microsoft Word Format:

Adobe Acrobat Format:

New Patient Information New Patient Information

New Patient Information New Patient Information

Medical Records Release from NCA to Other Providers Medical Records Release from NCA to Other Providers

Medical Records Release from NCA to Other Providers Medical Records Release from NCA to Other Providers

HIPAA Policy HIPAA Policy

HIPAA Policy HIPAA Policy

Medical Records Release from Other Providers to NCA Medical Records Release from Other Providers to NCA

Medical Records Release from Other Providers to NCA Medical Records Release from Other Providers to NCA

What to bring to your first appointment

  • Your completed new patient packet
  • Driver's license
  • Insurance card(s)
  • List of current prescriptions including dose and frequency
  • Recent records and test results relevant to the reason for your visit.
  • Your medical and surgical history

NCA is a scent free office. Many people are extremely sensitive to perfumes, colognes, and other scented products. For the comfort and health of others please refrain from wearing scented products in this office. Thank you. We believe open communication is the key to any successful relationship. Please feel free to contact our office with any questions or concerns that you might have.

Location

Our office is located in building C on the campus of Alaska Regional Hospital.

2741 DeBarr Rd, Suite 413
Anchorage, AK 99508
(907) 277-1623 phone
(907) 277-1624 fax

See Map