Arctic Slope Native Association (ASNA)Arctic Slope
Request your SSMH medical records
Release of Information form and help from the hospital.
Next stepRelease of Information (ROI) form
HoursMon–Fri 8:00am–5:00pm
Where7000 Uula Street, Utqiaġvik, AK 99723
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.