PRE-REGISTRATION

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IMPORTANT

INFORMATION

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INSURANCE

AND BILLING

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Here you’ll find forms and checklists to download and print as needed. The forms are PDFs; if you don't have it already, you'll need to download and install this free software: Adobe Reader.

PAIN PROCEDURE CHECKLIST

SURGERY PROCEDURE CHECKLIST

RIGHTS AND RESPONSIBILITIES

NOTICE OF NON-DISCRIMINATION & LANGUAGE ASSISTANCE SERVICES

Scheduled Patient PRE-REGISTRATION

Alpine Surgery Center

3801 Lake Otis Parkway, Suite 100

Anchorage, AK 99508

Office: 907-563-1555

© 2016-18 Alpine Surgery Center. All rights reserved.