Resource Library

Title	Language	Category	Link
Authorization for Communication of Health Information	English	Health	View
Authorization for Communication of Health Information	Spanish	Health	View
Physician Orders for Life Sustaining Treatment (POLST) Form	English	Health	View
Introduction to POLST for Patients Families	English	Health	View
What Your Completed POLST Form Means	English	Health	View
Additional Advance Care Resources	English	Health	View
Records Release of Information	English	Health	View
Alternate Resources Agreement Form – Beneficiary	English	Health	View
Alternate Resources Agreement Form – Beneficiary	Spanish	Health	View
Consent for Treatment of Minor	English	Health	View
Introduction to POLST for Patients & Families	English	Health	View
Advance Care Planning Conversation Guide	English	Health	View
Authorization for Communication of Health Information	Tagalog	Health	View
Patient Grievance Form	English	Health	View
Patient Rights and Responsibilities	English	Health	View
Patient Rights and Responsibilities	Tagalog	Health	View
Alternate Resources Agreement Form – Beneficiary	Tagalog	Health	View
Consent for Treatment of a Minor	Spanish	Health	View
Consent for Treatment of a Minor	Tagalog	Health	View
Notice of Privacy Practices	English	Health	View
Patient Registration Packet – Beneficiary	English	Health	View
Patient Registration Packet – Non-Beneficiary	English	Health	View
Patient Registration Packet – Non-Beneficiary	Spanish	Health	View
Patient Registration Packet – Beneficiary	Spanish	Health	View
Zero Income Statement Form	English	Health	View
Zero Income Statement Form	Tagalog	Health	View
Zero Income Statement Form	Spanish	Health	View
CCDF Billing Report	English	Workforce and Economic Development	View
Community Services Client Intake Form	English	Workforce and Economic Development	View
Breastfeeding Postpartum Women Application	English	WIC & Nutrition	View
Child Application	English	WIC & Nutrition	View
Family Information Form	English	WIC & Nutrition	View
Infant Application	English	WIC & Nutrition	View
Pregnant Women Application	English	WIC & Nutrition	View
Integrative Medicine Intake Form	English	Health	View
Integrative Medicine Nutrition Pre-Assessment	English	Health	View
Orthodontic Services Consent for Treatment	English	Dental	View
Orthodontic Service Payment Agreement	English	Dental	View
Orothodontic Patient Instructions	English	Dental	View
Patient Registration Packet – Non-Beneficiary	Tagalog	Health	View
Patient Registration Packet – Beneficiary	Tagalog	Health	View
CCDF Provider Registration Packet	English	Workforce and Economic Development	View
CCDF Quality Improvement Grant Application	English	Workforce and Economic Development	View
Introduction to POLST for Patients & Families - Spanish	Spanish	Health	View
Introduction to POLST for Patients & Families - Tagalog	Tagalog	Health	View
Alaska Physician Orders for Life Sustaining Treatment (POLST) Form - Spanish	Spanish	Health	View
Alaska Physician Orders for Life Sustaining Treatment (POLST) Form - Tagalog	Tagalog	Health	View
What Your Completed POLST Form Means	English	Health	View
Alaska Physician Orders for Life Sustaining Treatment (POLST) Form	English	Health	View
Community Resource List	English	General	View
Authorization for Release of Information	English	Health	View
Authorization for Release of Information	Spanish	Health	View
Authorization for Release of Information	Tagalog	Health	View
Dental Health History	English	Health	View
Dental Health History	Spanish	Health	View
Dental Health History	Tagalog	Health	View
Patient Rights and Responsibilities	Spanish	Health	View
Sliding Fee Discount Program Information Application	Spanish	Health	View
Sliding Fee Discount Program Information Application	Tagalog	Health	View
Sliding Fee Discount Program Information Application	English	Health	View
Patient Acknowledgement	English	Health	View
Patient Acknowledgment	Spanish	Health	View
Patient Acknowledgment	Tagalong	Health	View