We use a HIPAA-compliant vendor to securely deliver client forms submitted through our website.
Current clients, click here to fill out and submit forms.
New clients, submit new client intake forms here.
Notice of Privacy Practices – Spanish
Notice of Privacy Practices – Hmong
Consumer Safety Guidelines and Procedures
Homeless Management Information System Consumer Privacy Notice – Alaska Behavioral Health utilizes the HMIS during outreach in the PATH program and with current clients on the Assertive Community Treatment (ACT) Team and the 811 Housing Team.
Consumer Grievance Form NOTICE: The Consumer Grievance Form cannot be submitted online. The form can be hand delivered to any Alaska Behavioral Health location, faxed to 907-375-3115, or mailed to:
Alaska Behavioral Health
Attention: Privacy Officer
4020 Folker Street
Anchorage, AK 99508
Request for Access to or Copies of Records If you are a client and are requesting a copy of your own records, you will need to fill out both the ROI and this Request for Access Form.
NOTICE: The Request for Access form cannot be submitted on-line or by e-mail. The form can be hand delivered to any Alaska Behavioral Health location, faxed to 907-375-3115, or mailed to:
Alaska Behavioral Health
Attention: Clinical Records
4020 Folker Street
Anchorage, AK 99508
