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Anchorage Radiation Therapy Center
Alaska Regional Hospital
2841 DeBarr Rd. Ste 100 - Building A
Anchorage, AK 99508
907-276-2400
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Valley Radiation Therapy Center
Mat-Su Regional Medical Plaza
2490 S. Woodworth Loop, Ste 150
Palmer, AK 99508
907-745-2900
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Patient Forms
If you would like to complete your paperwork from the comforts of your home, please download and print each of the following four forms below. Please bring a copy of your completed forms with you on the day of your appointment.
Notice of Privacy Practices
[174k pdf]
Patient Information
[38k pdf]
Medical History Questionnaire
[70k pdf]
Release of Information
[30k pdf]
