4048 Laurel Street, Ste 202
Anchorage, Alaska 99508
Tel (907) 561-1711
email: IPTalaska@gmail.com
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Thank you for taking the time to fill out the paperwork before your appointment. This step will ensure that we can spend the majority of the time set for your evaluation finding a way to help you get better, not watching you fill out paperwork. Choose the appropriate link below and a new window will open that will be easy to print from (in PDF format). Please sign and date all the forms and bring them with you to your appointment. Note that there are different forms involved if you are under Medicare so please choose from the under the white Medicare heading. If you have neck or back pain please choose the appropriate option. For any other area of pain, total joint replacements, balance disorders, or any other reason you will be seeing us just click the "general" forms. Please call our office if you have any questions about the forms or email us at: IPTalaska@gmail.com. We will be happy to make sure you are on the right track.You can expect the evaluation to last roughly one hour. There is also a link at the bottom of the page where you can get a map and directions.

These forms are in a "PDF" format. If you are having trouble downloading them you may want to download the Adobe Reader which is free and very useful. You can read about it and download it from Adobe.

General Insurance, Workman's Comp:

Back Pain

Neck Pain

General - Joint Replacement, balance, or other pain

Medicare Patients:

Back Pain

Neck Pain

General - Joint Replacement, Balance, or other pain

 

Map and directions

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