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Alaska Fracture & Orthopedic Clinic

(907) 563-3145
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    • Preparing for Surgery
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  • Patient Forms
  • Patient Portal
  • Specialties
  • Providers
    • Physicians
    • Physician Assistants
    • Physical Therapists
    • Massage Therapists
  • Resources
    • Preparing for My Appointment
    • Preparing for Surgery
    • Prescriptions & Refills
    • Billing Information
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(907) 563-3145

Patient Forms

New Patient Paperwork

If you are a new AFOC patient, please print and complete the New Patient Paperwork. Bring it with you to your first appointment.

Release of Information Form

If you are an established patient and want to request a copy of your records or give AFOC permission to release your records to another party, please print and complete the Release of Information Form. You may submit the form in any of these ways:

  1. Fax it to (833) 464-5196.
  2. Email your completed form to afocmedrec@afoc.com (Protecting your personal health information is important to us. Please be aware that emails may contain protected health information and are not fully secure due to the limitations of standard email systems.)
  3. Print the form, complete it, and drop it by one of our locations.
For specific questions, contact the Medical Records department directly at (907) 357-9520.
Anchorage Clinic & Physical Therapy
(907) 563-3145
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(907) 336-3145
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(907) 689-3145
Wasilla Clinic
(907) 261-7117
Palmer Physical Therapy
(907) 261-7117
Physical Therapy (All Locations)
(907) 561-8610
Fax (All Locations)
(833) 464-5196
  • Specialties
  • Providers
  • Locations
  • About Us
  • Patient Forms
  • Preparing for My Appointment
  • Preparing for Surgery
  • Prescriptions & Refills
  • Billing Information
  • Patient Portal
  • Webmail Login
  • Notice of Non-Discrimination
  • Privacy Policy
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