Alaska Family Care Forms 2018-09-25T06:17:41-08:00

Patient Forms

Please print the forms in advance, you will be able to complete them at your own pace. Please print the forms on white paper only

NEW Demo Sheet 2011 (.xls)

Annual Preventive Physical (.doc)

HIPAA 2018 (.docx)

Health history- New Patient forms (.doc)

Prescription History (PDF)

Release (.doc)