Health Records Request | Alaska Native Medical Center Main: 1 (855) 482-4382 Emergency: 911 Customer-owners, Patients & Visitors Craft Shop Purchased/Referred Care (PRC) Visitor Information ANMC Notice of Privacy Practices Food Services Travel & Lodging Eligibility ANMC Health Benefits Specialists Resources MyHealth Pricing Transparency Coordinating your health care across the Tribal health system Tinitun campus way-finding app Services Primary Care Ear, Nose & Throat Emergency & Trauma Internal Medicine Pediatrics Oncology & Hematology Clinic Ophthalmology Palliative Care Orthopedics Obstetrics & Gynecology General Surgery Urology + All Services Medical Professionals Practice at ANMC Specialty Care Resources Clinical Guidelines Health Records Request Contractors Careers Volunteering Careers Safety & Quality at ANMC Health Records Request Health Records Request If you need a copy of your Health Records or Health Information for pick-up, or to be faxed to a provider, simply download, print, fill-out and return the following form to us via fax or email. Please include a copy of your valid identification when submitting any requests, or you may show your identification upon picking up your records. Please note that you will need to include a form of ID if you do email or fax your request. The ROI and medical records department in the the Inuit Building is open 8 a.m.- 5p.m. Monday-Friday. This department follows the ANMC holiday schedule for closures. Please have your ID ready. If the records cannot be emailed, mailed or faxed, the Health Records representative will set up an apt for the patient to come back to pick up the records. Commonly requested forms: Authorization for Use and Disclosure of Health Information form [PDF] Request for Revocation of Restrictions form [PDF] Request for Amendment to Protected Health Information form [PDF] Revocation of Authorization for Disclosure of Health Information form [PDF] Request for Restriction on Use and Disclosure form [PDF] Request for an Account of Disclosures form [PDF] Hours: 8 a.m.-5 p.m. Monday-Friday Mailing address 4315 Diplomacy Drive Anchorage, AK 99508 Physical address 4141 Ambassador Drive, Ste. 118 Anchorage, AK 99508 Email: akahimroiteam@anthc.org Tinitun: helping you find your way around the Alaska Native Health Campus Support App Store Download Way finding from your computer