Home » For Patients » Patient Resources

Patient Resources

Everything you need to prepare for your visit, in one place. Proudly serving patients across Anchorage, Mat-Su, and all of Alaska.

Below are required forms for new patients. Download, print, and bring them to your appointment — or call our office at (907) 276-1046 if you have any questions.

Patient Information Sheet

This form collects your contact information, insurance, and emergency contacts so we’re ready when you arrive.

Patient Health History

A complete health history form covering past surgeries, medications, allergies, and family history. Please thoroughly complete all sections of the form.

Financial Policy

Here’s what you can expect when it comes to billing, payments, insurance, and any balances you’re responsible for.

Self-Pay Financial Policy

If you’re paying out of pocket without using insurance, this outlines the self-pay policy including payment plan options.

Follow Along

Facebook Live with Dr. Muffoletto

Dr. Muffoletto hosts Facebook Live sessions covering surgical topics, patient questions, and updates from his practice. Follow along to watch live or catch the replays.