Here are the AVC forms.  You have two options:

•  Print out a form at home, fill it in and fax it or bring to the office when you come in for your appointment.  The buttons below will get you to each form to print out.

(If you use a printable form, please do not print it double-sided, as it makes them much harder to read in your chart at the Clinic.  Thanks!)

•  Use the online form below and submit it to us over the internet.

Adobe reader

 If you need Adobe reader to open and print PDF files, you may click the icon to obtain the latest version of the free Adobe reader here. 

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Alaska Vein Clinic • 3300 Providence Drive, Suite 309 • Anchorage AK • 99508 

Tel 907-222-6240 •  Fax:  907-222-6870

Call us at 1-907-222-6240