Patient Intake Portal

Patient Intake Forms

Save time at your initial consultation by downloading and completing these forms prior to your arrival.

Required Documentation

Comprehensive physiological screening is required for all new patients prior to your 15–30 minute consultation. This ensures our clinical team has a full grasp of your surgical history and vascular health.

Clinical PDF Version 2026.04

Medical History & Intake

Download the unified clinical intake packet for Lymphedema, Oncology, and Post-Surgical patients.

Request Forms

How to receive your forms: Click Request Forms above to contact the clinic. We will send your intake packet via email prior to your appointment. Forms are also available in the clinic at your initial consultation.

What to Prepare

List of all current medications.
Your surgeon's operative report (if applicable).
Primary physician contact information.
Recent imaging reports (Ultrasound, MRI, etc).

Privacy Policy

Your medical history is handled with strict HIPAA-compliance in our Anchorage facility.

Ready to accelerate your cellular healing?

Skip the trial-and-error. Schedule your 15–30 minute consultation with our clinical team to map out your personalized recovery plan.