New Patient Paperwork

884A9051_TJOHNSON

1343 G Street
Suite 100
Anchorage, AK 99501

tel   907.748.0022
fax  907.277.0022

Save time at your initial evaluation!

Please print these 4 forms at home, fill out completely and bring with you to your appointment! Please give us a call if you have any questions.

  1. HIPAA
  2. Body Map
  3. New Patient Intake Form
  4. Late Cancel/No Show Policy

Health Insurance Worksheet
Unsure what to ask your insurance company about your benefits for physical therapy? This form can help. (Please bring your Health Insurance Card and Photo ID as well.)