Patient Forms

Release of Information (PDF)

New Patient Referral Form (PDF)

*Accepting new patients, referrals are encouraged.

Eagle River Behavioral Health patients are provided with secure, 24/7 access to their health records through the AdvancedMD Patient Portal. Patients can safely and easily: send and receive secure messages, update demographic information, view upcoming appointments, access after visit summaries, and make refill requests.

For a printed copy of our practice policies and service agreement, intake forms, informed consent for telemedicine services, and/or HIPAA notice of privacy practices please contact us.

If you are in need of services to effectively communicate with us such as: a qualified sign language interpreter, written information in other formats (large print, audio, accessible electronic formats), or other language services please contact our office at (907) 726-0378.