Arctic Slope Native Association (ASNA)Arctic Slope
Request your SSMH medical records
Release of Information form and help from the hospital.
About this service
To request your SSMH medical records, get a Release of Information form from the hospital front desk or Health Information Management. Bring photo ID; guardians also need proof of guardianship. To obtain records from another hospital, contact that facility directly.
Next stepRelease of Information (ROI) form
HoursMon–Fri 8:00am–5:00pm
Where7000 Uula Street, Utqiaġvik, AK 99723
Who can get this isn’t written here. Call them to ask.
Before you start
Get the form at SSMH. Call Health Information Management Monday–Friday, 8 a.m.–5 p.m. for help.
- Photo ID.
- Proof of guardianship if requesting records as a guardian.
Provider information
View official informationCall Hospital front desk907-852-4611Questions to ask
Who can get this, and what should I bring?
Which application or form fits my situation?
After you contact them
Ask the provider how to confirm receipt and when to follow up. A response time is not listed here.
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