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Behavioral Health Wellness Clinic

The ANTHC Behavioral Health Wellness Clinic is designed to meet your everyday behavioral health needs. All services are provided by telehealth. Our goal is to promote Alaska Native wellness through compassionate and easy-to-connect to behavioral health services.

Client Resources

Release of Information

This Release of Information form is required in order to authorize the Behavioral Health Wellness Clinic (BHWC) to use and disclose health information and substance use disorder treatment information with your treating health care providers.

This form will only release information from your health record from your care at the ANTHC Behavioral Health Wellness Clinic. To obtain your medical records from the Alaska Native Medical Center, please complete the ANMC Medical Record Request form.

Satisfaction Survey

Thank you for coming to the ANTHC Behavioral Health Wellness Clinic (BHWC) for your care. We would appreciate you completing this short survey to provide information on your recent experience at the BHWC.

<strong><meta charset=”utf-8″></strong>Revocation of Release of Information 

This form is used to revoke or to confirm the revocation of a previously authorized disclosure. You may make this revocation at any time by giving written notice to a Privacy Contact listed on our Notice of Privacy Practices. You may only revoke an authorization you made for yourself or your minor child. This revocation of the authorization will not affect any action we took in reliance on the initial authorization prior to receiving this notice.