Request your SSMH medical records
Arctic Slope Native Association (ASNA)
Before you start
Get the form at SSMH. Call Health Information Management Monday–Friday, 8 a.m.–5 p.m. for help.
What to prepare
- Photo ID.
- Proof of guardianship if requesting records as a guardian.
Forms & ways to get help
Records request
Release of Information (ROI) form
copies of your medical records / sending records to another provider
Where to go or send it
SSMH front desk or Health Information Management, 7000 Uula Street
Questions or help
Health Information ManagementCall · 907-852-9224Hospital front deskCall · 907-852-4611About 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.