Anchorage

(907) 562-2020

Online Forms

At Edward Bancroft OD and Palmer Vision Clinic, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Health History Form – Anchorage

Download & Print Form


New Patient Health History Form – Palmer

Download & Print Form


Download the Free AdobeReader®

Locations

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Our Hours

Monday

8:00 am - 5:00 PM

Tuesday

8:00 am - 5:00 PM

Wednesday

8:00 am - 5:00 PM

Thursday

8:00 am - 5:00 PM

Friday

8:00 am - 2:00 pm

Saturday

Closed

Sunday

Closed

Our Hours

Monday
8:00 am - 5:00 PM
Tuesday
8:00 am - 5:00 PM
Wednesday
8:00 am - 5:00 PM
Thursday
8:00 am - 5:00 PM
Friday
8:00 am - 2:00 pm
Saturday
Closed
Sunday
Closed