Anchorage Office:

907-280-9585

Valdez Office:

907-885-2436

We have provided our patient forms online for your convenience. We encourage you to fill them out before your appointment with Dr. F. Todd Wortham and Dr. Seth Jorgensen in Anchorage and Valdez, Alaska, as this will save you time and streamline your experience at Foothills Dentistry. If you have questions about our patient forms, please call us today at 907-885-2436 and 907-280-9585. We will be happy to assist you.

Online Forms are only available through the Google Chrome web-browser.
Click here to download Google Chrome.


Patient Form PDF