Patient Information
Forms
New Patient Packet
New Patient Packet PDF (English) (Rev. 10/2024)
New Patient Packet PDF (Spanish) (Rev. 10/2024)
Sliding Fee Discount Application
medical Health History
Medical Health History (English) (Rev. 9/2023)
Medical Health History (Spanish) (Rev. 9/2023)
Dental Health History
Dental Health History (English) (Rev. 9/2023)
Dental Health History (Spanish) (Rev. 9/2023)
PERSONAL HEALTH INFORMATION DISCLOSURE agreement
Request an Appointment
You may also send an email to scheduling@anhc.org or call (907) 743-7200.
Request a refill of an existing Prescription
If your prescription is at an outside pharmacy like Fred Meyer, Carrs, Walgreens, please contact that pharmacy directly.
Existing prescriptions only: Online prescription refill request form
You may also send an email to prescriptions@anhc.org or call our 24/7 refill line (907) 743-7208.
Request a new Prescription
Contact your ANHC care team to request a new prescription. You may also request an appointment.
Contact my Care Team
Request my Medical Records
Request that your medical records be sent to you.
Looking for your vaccine records? Download the Docket app for easy access.
Apple users: Download Docket from the App Store.
Android users: Download Docket from Google Play.
Request a Release of Information
Request that your medical records be sent to ANHC, request that ANHC send your medical records to another provider, or request a mutual exchange of information.
Make a Care Request
Request a different provider or make a complaint about the care you received at ANHC. View other feedback options.