Adult man and medical provider

Patient Forms

Thank you for choosing Borealis Heart Specialists for your heart care needs!

New Patient Packet

Our new patient packet includes the new patient forms that will need to be completed for your first visit:

1. New Patient Registration
2. Consent for Care and Treatment
3. Information Release
4. Terms and Conditions of Email
5. Communication and Text Messages
6. Financial Policy
7. Office Policies

It is very helpful to have this information completed prior to your appointment. Please bring the completed forms with you to your appointment along with your photo identification and insurance card. Please arrive 15 minutes early for your appointment. We look forward to meeting you!

New Patient Packet (PDF)


Authorization to Release Medical Records

Medical Records Release (PDF)


Medication Refill Request

Refill requests can be made by phone, in person, or by submitting a Medication Refill Request form by fax to 1-907-802-4530. To ensure your medication is refilled timely, please request your refill two weeks before your current prescription is finished.

Medication Refill Request (PDF)