Office of the Commissioner Forms and Office Locations – Government Agency in Alaska

1 - 20 of 35 forms

Form Title	Topics
14-day fever and symptom follow-up form, days 1-7
ADVANCE HEALTH CARE DIRECTIVE
AKAIMS Behavioral Health Assessment Identifying Info (From AKAIMS Profile/Intake)
AKAIMS MINIMAL DATA SET FORMS DISCHARGE FORM
AKAIMS MINIMAL DATA SET FORMS PROFILE INTAKE FORM
Alaska BIRTH Certificate Request Form Instructions
Alaska DEATH Certificate Request Form Instructions
Alaska DIVORCE Certificate Request Instructions
Alaska MARRIAGE Certificate Request Form Instructions
August 11th Travel Update FAQ
Care Coordination Services and Long Term Services and Supports Targeted Case Management Conditions of Participation
CDC COVID-19 Vaccination Program Provider Agreement
CLEARANCE FORM
Clothing Inventory Form
Conditions Reportable to Public Health
Confidential Infectious Disease Report Form
Confidential Sexually Transmitted Disease (STD)/HIV Report Form State of Alaska, Section of Epidemiology
COVID-19 Vaccination Plan
COVID Vaccine Provider Attestation Form
DEED/DHSS Alaska Smart Start 2020: Return to School After Symptoms Form

1 contact point

Address:
3601 C Street
Suite 902
Anchorage, AK 99503-5923

Phone numbers:

Fax numbers: