Forms
Consent for Release of Information
The Consent for Release of Information must be filled out for the center to release any protected health records, as stated in our Notice of Privacy Practices.
Consent for Treatment of a Minor
Students under the age of 18 need to have parents or legal representative fill out and return this form.
Health inventory and immunization records
All newly admitted students residing in student housing must complete the health inventory
and immunization form before arriving on campus.
Students can update medical information and print copies of their immunizations in the Patient Portal: Patient Portal
Exemption forms
Please note: the form above is the only religious exemption form available through
the State of Alaska and does not address adults or University students. This form
only addresses K-12 schools, preschools and
child care facilities.