Alaska Native Medical Center

Health Records Request

If you need a copy of your Health Records or Health Information for pick-up, or to be faxed to a provider, simply download, print, fill-out and return the following form to us. Please include a copy of your valid identification when submitting any requests, or you may show your identification upon picking up your records. Please note that you will need to include a form of ID if you do email or fax your request.