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Anchorage Project Access

Connecting our underserved neighbors with donated health care.

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Anchorage Project Access

Patient Enrollment Application

Enrollment Application 06.20.18 (PDF)

  • For Patients
  • Eligibility and Enrollment
  • Financial Guidelines
  • Patient Enrollment Application
  • Patient FAQs
  • Patient Responsibilities

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Enter your name as to how you wish to be recognized, or you may choose to remain anonymous.
If this contribution is in memory of an individual please add his/her name next to your name (sample: Joe Smith for Jane Doe; Anonymous for Jane Doe).

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  • Home
  • About
    • Annual Reports
    • Board of Directors
    • Funding Partners
    • History
    • Mission Statement
  • Contact
  • For Patients
    • Eligibility and Enrollment
    • Financial Guidelines
    • Enrollment Application
    • Patient FAQs
    • Patient Responsibilities
  • For Providers
    • Patient Referral Guidelines
    • Provider FAQs
    • Provider Resources
    • Recognition
  • Donate
  • News
  • Events
    • 2020 Revolutions
    • 2020 Sponsorship Levels & Benefits
    • 2020 Revolutions Sponsors
    • 2020 Rider & Team Information
    • 2020 Rider Registration Online
    • 2020 Official Team & Rider List
    • 2020 Revolutions Photos
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