sayakturuat iñuich, piḷḷuataġaqtut nunaaqqiñi – healthy people, thriving communities

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Resources
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Resources

  • Forms & Applications
  • RFPs & Press Releases
  • Annual Reports
  • Recovery Services
  • Suicide Prevention

Forms & Applications

Health Services
Tribal Services
Social Services

Health Services

ASAA Pre-Participation Exam
Information from ASAA
Student Health/Review Exam

Medicaid & T-SHIP Information
Alaska Medicaid Application
Sliding Fee Discount Program Application

Financial Assistance Policy for Medical Services
Financial Assistance Policy
Plain Language Summary
Financial Assistance Application
Federal Poverty Guidelines for Alaska

Release of Information
Authorization to Disclose Protected Health Information
Notice of Privacy Practice

Emergency Medical Services
CPR/First Aid Class Sign-Up Portal

Tribal Services

Scholarships:
Paaraq & James Qigñak Wells Scholarship Portal
James Qigñak Wells Scholarship Overview and Policies
Paaraq Scholarship Program Overview and Policies

For all other WFD programs, interested individuals may request the appropriate applications by contacting the WFD office at (907) 442-7021.

Social Services

BHS Intake and Admission Form
Release of Information
Clients Rights & Privacy Practices
Substance Use Services Client Treatment Contract

Elder Food Assistance
Food Assistance Program Application 5.2021

Alaska Commodity Supplemental Food Program
Brochure
Application

Hardship Mitigation Project
CIMG Application

Additional Resources

Recovery Services

We provide substance use treatment designed to stop the hurt, provide help through community, and give hope for a life in recovery.

Suicide Prevention

If you or someone you know is thinking about hurting themselves or others, please seek help immediately.

Quick Links
  • Pricing Transparency
  • Notice of Privacy Practices
  • T-SHIP Medicaid
Contact Information

Appointment Desk 907.442.7777
Behavioral Health 907.442.7640
Patient Advocacy 907.442.7157
patient.advocacy@maniilaq.org

Employee Links
  • Maniilaq Email
  • Tundranet
Locations

Corporate Office
Frank R. Ferguson Building (FRF)
733 2nd Avenue
P.O. Box 256
Kotzebue, AK 99752
Phone: 907.442.3321
Toll-free: 1.800.431.3321 (within Alaska)

Maniilaq Health Center
436 5th Avenue
P.O. Box 43
Kotzebue, AK 99752
Phone: 907.442.3321
Toll-free: 1.800.431.3321 (within Alaska)

Medical Records

Health Information Services
Phone: 907.442.7299
Fax: 907.442.7315

Human Resources

HumanResources@maniilaq.org
Phone: 907.442.7660
Fax: 907.442.7830
Toll-free: 1.800.431.3321 (within Alaska)

Ethics & Compliance

Report an Ethics or Compliance Concern
Report a Patient Safety Event with the Joint Commission

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