You can download and print the forms below before your next visit to Accurate Vision Clinic in Anchorage.
Our forms for NEW patients to bring to your exam, please fill out BOTH pages.
- Patient Welcome Form [PDF]
Insurance, Billing, & Privacy
Explanation of insurance, billing policies, and privacy for ALL patients, please read and sign both forms.
- AVC Patient Financial and Billing Policy [PDF] please read and sign
- AVC Privacy and Communication [PDF] please read and sign
- AVC Notice of Privacy Practices [PDF] please read
Record Release Form
This form is to be filled out if you would like us to request records from your previous eye doctor. Or if you would like us to provide you with a copy of your records from Accurate Vision Clinic.
- AVC Records Release [PDF]