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Anchorage

4045 Lake Otis Pkwy Suite 203

Anchorage, AK 99508

(907) 562-2020

Palmer

440 W Evergreen Ave Ste C

Palmer, AK 99645

(907) 745-4373

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


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Exclusive Offer

New Patients receive 15% OFF Second Pair of Complete Glasses!

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OUR OFFICES

Palmer Office

Anchorage Office

Hours of Operation

Palmer and Anchorage Offices

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