Now accepting Telehealth appointments. Schedule a virtual visit.

Patient Forms


 

All new patients must download and complete necessary forms to bring to first appointment.

The Medical Release Form is only necessary should you have received previous treatment for an injury.

The Notice of HIPAA is for review only.

If you are unable to complete the paperwork, you will need to check-in 15 minutes prior to their appointment.

Consent for Involvement

 

Financial Policy

 

Notice of HIPPA

 

Medical History Form

 

Patient Registration Form

 

Medical Release Form

 

Location
Orthopaedic Surgical Associates, LLC
1275 Sadler Way Ste , STE 101
Fairbanks, AK 99701
Phone: 907-205-5101
Fax: 907-374-7072
Office Hours

Get in touch

907-205-5101