To request a copy of your Health Records/ Health Information, download, fill-out, and submit the applicable Health Information Form below. To streamline the process we have partnered with a new vendor, Record Connect, who will be distributing health records for SEARHC, for all instances, except pick-up. For questions regarding all submitted requests, please contact Record Connect at 907.931.1391.
- Authorization to Disclose Protected Health Information (fillable form)
- Patient Request for Access to Personal Health Information (fillable form)
- Authorization to Disclose Behavioral Health Protected Information (fillable form)