Patient Forms

Sunset-over-Chena-River-Fairbanks-Alaska

Adult Sleep and Breathing Questionnaire

If you are unable to fill out this form online, you can print the form and fill it out by hand. 

Fill Out Form Online

Share PHI

If you are unable to fill out the Share PHI form online, you can print the form and fill it out by hand. If you fill out the form online, you will be able to sign the form in the office during your visit.

Fill Out Form Online

For your first appointment

Before your first appointment, please fill out the Health History and Patient Information form and review the Financial Agreement, General Consent, and HIPAA acknowledgment form. You will have the opportunity to review these forms and ask any questions you may have in the office before you sign them.

Health History

If you are unable to fill out the Health History form online, you can print the form and fill it out by hand.

Fill Out Form Online

Patient information

If you are unable to fill out the Patient Information form online, you can print the form and fill it out by hand.

Fill Out Form Online

Financial Agreement

General Consent

HIPAA Acknowledgement