FAQs | GLOSSARY | WEB NURSERY | STAFF | TCHAP HOME
Phone:(907) 562-9212
Fax: (907) 562-2409
Ron Brennan, MD
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New Patients
The full questionnaire for new patients includes both the Iditaform Medical & Developmental History and the Evaluation Questionnaire. Please download and print both questionnaires, complete the required information, and mail to:
Center for Children With Special Needs
2401 East 42nd Street - Suite 306
Anchorage, Alaska 995085
Established Patients
For established patients, please download and print a copy of the Follow Up Questionnaire and the Evaluation Questionnaire. Complete the required information and mail to the address above.
 The Iditaform - Medical & Developmental History
Evaluation Questionaire
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