Patients

Foot & Ankle Surgeons, OPA is committed to making your office visit, an easy and comfortable experience.

Release of Patient Records Form & Instructions:
Fax or mail the completed form to our office for records release processing.
• Medical Records Release Form (PDF)
• Online Medical Records Request(Link to Datavant)

Authorization to Treat Minors Form & Instructions:
Please return the completed form below to our office at your next scheduled visit.
• Authorization to Treat Minor in Absence of Parent/Guardian (PDF)

Privacy & Financial Policy Forms:
• Notice Of Privacy Practices revised 6/2023(PDF)
• Patient Financial Policy Sheet (PDF)

External Web Links:

• Alaska Surgery Center Patient Pre-Registration
• Alaska Regional Hospital Admitting Procedures
• Alpine Surgery Center
• Creekside Surgery Center
• Providence Alaska Medical Center