Forms and Publications

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YKHC's Report to the People, 2013.

Publications

Provider Resources

2013 Clinical Guidelines (PDF 4mb). Guidelines are designed for general use for most patients but may need to be adapted to meet the special needs of a specific patient as determined by the patient’s provider.

Pediatric Orientation Manual (PDF 40mb)
Resource and procedure manual for Pediatricians.

 Retail Store

Referral Forms

Refer a patient or client to one of our clinics, specialty clinics or service programs.

Release Forms

Authorization To Release Patient Health Information (PDF)

YKHC’s Release of Information form has been updated as of 12/5/2014. All prior YKHC forms will no longer be accepted as they have been retired. Please discard any former YKHC ROI forms in hard copy or PDF file you may have on hand.

Health Information Services Dept.
P.O. Box 287, Suite 3016 • Bethel, Alaska 99559
Phone: 907-543-6388 • Fax: 907-543-6417

MEDIA Authorization & Waiver of Liability (PDF)

Authorization to Take & Use Photographs, Video Tapes, and/or Audio Tapes & Information