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