Patient Pre-Registration

Patient Pre-Registration

Thank you for choosing Far North Surgery for your surgery.

We request you to fill out your information on the registration form. This will help us start the pre-surgical assessment process and document your medical history before starting your surgery.

Be sure you have the following information to complete the registration process:

  • Emergency contact information
  • Your healthcare insurance information
  • Your past medical/surgical information
  • Your pharmacy information
  • Referring physician, and primary care physician information
  • Your family medical history
  • Current problems/medications
  • Social history

Start Your Registration Process

Our online patient pre-registration system will be activated soon! Check back in a little while or Click Here to send us a message.

Call us at 907-276-3676 if you need any assistance.

scroll up