4001 Lake Otis Pkwy, ste. 201
Anchorage, Alaska 99508
Tel (907) 561-1711
email: IPTalaska@gmail.com
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NEW PATIENTS: Thank you for taking the time to fill out the paperwork before your appointment. This step will ensure that we can spend the majority of the time set for your evaluation finding a way to help you get better, not watching you fill out paperwork.

Choose the appropriate category below and a new window will open that will be easy to print from (in PDF format).Please choose the appropriate option based on your pain. You may still need to choose "neck" or "back" if your arm or leg pain is coming from your those areas. For any other reason (or if you're just not sure) click the "general" forms and we will clarify when you arrive. Please sign and date all the forms and bring them with you to your appointment.

Please call our office if you have any questions about the forms. We will be happy to make sure you are on the right track.You can expect the evaluation to last roughly one hour. Please bring your insurance or Workman's compensation information and a current ID with you to the first visit. Were located on the second floor at 4001 Lake Otis Parkway, Map.

 

Back Pain (includes pain that goes from your low back down your leg)

Neck Pain (includes neck pain that goes into your shoulder and down your arm)

Arm Pain (includes shoulder, elbow, wrist and hand, NOT coming from your neck)

Leg Pain (includes hip, knee, ankle, and foot -NOT coming from your low back)

General - other pain, stroke (CVA), Brain Injury (TBI), balance issues, Parkinson's, or other.

 

Map and directions

 

Our Notice of Privacy Practices (HIPAA) information can be found here.
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