Anchorage Alaska Heart Care

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. Check off list to bring to first appointment.
  2. New Patient Registration (Page# 2,3)
  3. Consent for care and Treatment
  4. HIPAA
  5. Terms and conditions for communication
  6. Financial policy
  7. Office policies
  8. Medication refill policy

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)