Patient Forms

Anchorage Audiology Clinic

The forms may be filled out electronically or you may print and fill out by hand. To speed up your check-in process, we suggest that you bring the completed forms with you to your appointment.  If you choose to electronically complete the forms, please email them to anchorage_audiology@gwentak.com prior to your visit.

• Patient Information Packet
• Audiology Cost Disclosure
• Tinnitus Questionnaire

ENT Specialists of Alaska and Geneva Woods Ear Nose and Throat

The forms may be filled out electronically or you may print and fill out by hand. To speed up your check-in process, we suggest that you bring the completed forms with you to your appointment.

If you choose to electronically complete the forms for Geneva Woods, please email them to frontdesk@gwentak.com prior to your visit.

If you choose to electronically complete the forms for ENT Specialists of Alaska, please email them to frontdeskwasilla@gwentak.com prior to your visit.

• Patient Information
• Patient Health History
• Financial Policy
• HIPAA Acknowledgement and Consent
• Records Release Request