ANCHORAGE

8717 Dimond D Circle
Anchorage, Alaska 99515

Office  907.771.0536
Fax    907.771.0537

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Completing the following forms prior to your first

appointment is important.

 Please click on the link below and complete them online; they will be delivered to Bridges via a secure, HIPPA compliant electronic submission. Be sure to complete all documents; it will take about 7-10 minutes and you must complete them all at the same time and then press SUBMIT. 

Please remember to bring a picture ID and

insurance card to your first appointment. 

 

Client Intake Forms

The packet includes the Pre-Evaluation Questionnaire, Office Registration, the Expectations and Commitment Form, and the HIPPA Form

 This form helps you track your anxiety, sleep, pain, and medications.

If desired, you can start using this prior to your first appointment and bring it with you at that time. It provides valuable information to both you and your provider.