General demographic and insurance information.
Tell us how how to contact you.
This notice describes how health information about you may be used and disclosed and how you can get access to this information.
Permit us to receive medical records from previous or other providers, if applicable.
Know what to expect regarding paying for your care.
Permit us to receive drug and alcohol treatment information, if applicable.
Share your medical history with your provider team. Please note these forms are age specific.
Indicate your preference regarding who may bring your child for medical care and whether we may see your older child without you present.
Medical Park is proud to have cared for generations of Alaskans in our local and physician-owned clinic. We are here for our patients throughout the lifespan in sickness and in health.
2211 E. Northern Lights Blvd, Anchorage, Alaska 99508 [View Map]
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