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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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Donate Now!

Your name:
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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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