PLEASE REMEMBER: We cannot guarantee privacy for any information you post on-line or send through unencrypted e-mail. Please be cautious with your private information.
Joint Notice of Privacy Practices
Homeless Management Information System Consumer Privacy Notice
ACMHS/FCMHS Consumer Rights handout
ACMHS/FCMHS Consumer Grievance handout
Consumer Grievance Form NOTICE: The Consumer Grievance Form cannot be submitted online. The form can be hand delivered to any ACMHS location, faxed to 907-375-3115, or mailed to:
ACMHS
Attention: Privacy Officer
4020 Folker Street
Anchorage, AK 99508
Release of Information Form NOTICE: The Release of Health Information form cannot be submitted on-line or by e-mail. The form can be hand delivered to any ACMHS location, faxed to 907-375-3115, or mailed to:
ACMHS
Attention: Clinical Records
4020 Folker Street
Anchorage, AK 99508
Request for Access to or Copies of Records If you are a client and are requesting a copy of your own records, you will need to fill out both the ROI and this Request for Access Form.
NOTICE: The Release for Access form cannot be submitted on-line or by e-mail. The form can be hand delivered to any ACMHS location, faxed to 907-375-3115, or mailed to:
ACMHS
Attention: Clinical Records
4020 Folker Street
Anchorage, AK 99508