Forms, Policies & Applications
Health Services
ASAA Pre-Participation Exam
Information from ASAA
Student Health/Review Exam
Medicaid & T-SHIP Information
Alaska Medicaid Application
Financial Assistance Policy for Medical Services
Sliding Fee Discount Program Application
Financial Assistance Policy
Plain Language Summary
Federal Poverty Guidelines for Alaska
Release of Information
Authorization to Disclose Protected Health Information
Notice of Privacy Practice
Workforce Development
Scholarships:
Paaraq & James Qigñak Wells Scholarship Portal
James Qigñak Wells Scholarship Overview and Policies
Paaraq Scholarship Program Overview and Policies
Assistance Applications:
WFD 477 Application for Services
General Assistance
Emergency Assistance Application
Burial Assistance Application
Emergency Medical Services
CPR/First Aid Class Sign-Up Portal
ETT/EMT Bridge Class Application
W-9 Tax Form for ETT/EMT Bridge Class
Bridge Class Schedule – ETT
Bridge Class Schedule – EMT
BHS Counseling & Recovery Center
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
Request for Proposal (RFP)
51F102002-12.12.23 Maniilaq Air Ambulance RFP-RO Edits 12-28-24
Dietary and ES Services – Maniilaq Association RFP Packet
Addendum 2 Maniilaq Association FY 2023 Telehealth Network Services RFP
Addendum 1 Maniilaq Association FY 2023 Telehealth Network Services RFP
RFP FY23 – Telehealth Network Service for Maniilaq Association
REQUEST FOR PROPOSALS – Remote Support in Psychiatry Services
Invitation to Bid (ITB)
ITB Website and Style Guide – Deadline extended to March 24, 2023.