You take care of everyone else, let us take care of you.
907.561.7111
3260 Providence Dr
Providence C Tower
Suite 425
Anchorage, AK 99508
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Patient Forms

Annual Packet (208 KB)

Please print the forms below, fill them out and bring them with you to your appointment.
New OB Packet (286 KB)
For returning patients to our clinic, please complete prior to appointment time.
For new patients, please complete prior to arriving at our clinic.
For new or returning patients that are pregnant or expecting, please complete prior to arriving at our clinc.
For patients wanting medical records to be sent to their provider at AWC
For patients wishing for us to send private medical information.
Sign In Link
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