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New Patient Forms

In order to better serve our patients, these forms are available to fill out in advance. We request you bring them in on your first visit so we can get to know your specific needs.

Medical History

Patient Information

Privacy Practices

Authorization for Release of Medical Record

Pediatric Parent Guidelines

Pediatric Health Questionnaire

 

 

Dr. Michael Sanders
10928 Eagle River Road Suite 240
Eagle River, AK 99577
Tel. 907 694-8234
Fax 907 694-8225

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