-A +A

As we all know, sometimes doctor visits require necessary paperwork. To make it more convenient for you, you may download our required forms, print them, and fill them out prior to your appointment. Anchorage Fracture & Orthopedic Clinic complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Along with your completed paperwork, please bring the following with you to your scheduled appointment:

  • Insurance Card
  • Photo ID
  • Referrals (if required)
  • Co-Payments
  • Network Exception (authorization number and/or letter from insurance company)

For MRI scans, wear loose-fitting clothing (no metals).

New Patient Forms

Medical History FormMedical Records Release Form Pre-Op Medication List Form Spine History Form (Dr. Spencer's Patients Only. Do Not Fill Out Medical History Form.)

The latest version of Adobe Acrobat Reader is required to view and print PDF files, and it is available here