Alaska Urgent Care Forms

 

Click on the link below to download our form if you would like to fill it out beforehand, or you can obtain them in our clinic. Thank you!

 

Patient Registration Form - Alaska Urgent Care

Patient Registration Form

Medical History Form

Authorization to Treat a Minor

Authorization to Release Medical Records

 

In addition, if you wish to review our HIPAA and Privacy Practices documents, we have included them below:

HIPAA Notice

Notice of Privacy Practices