Appointment Request

Please fill out this form in preparation for your visit to one of our SEARHC locations. If this is an emergency dial 911 or an Urgent/Emergent issue please go to Emergency Room or Urgent Care

Basic Information

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We maintain waiting lists for all Field Clinics. To view the upcoming Field Clinics to your community, click here.

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You have selected "Juneau - Other" as your preferred location.


Please note that appointments for Juneau Behavioral Health can be scheduled via phone only by calling 907-463-0160.


Appointments for Front Street Clinic can be scheduled by calling 907-364-4565

Southeast Medical Clinic

At this time, Southeast Medical Clinic appointments are being scheduled directly with the downtown clinic. Call 907-586-8100 to make an appointment. Please do not continue to fill out this form.

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We recommend all patients to update their demographics and insurance information at least once a year

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Juneau Urgent Care

Please note that Urgent Care is a walk-in clinic - appointments are not necessary. Please do not fill out this form. You may present at the clinic at your convenience.

Sitka Urgent Care

Please note that Urgent Care is a walk-in clinic - appointments are not necessary. Please do not fill out this form. You may present at the clinic at your convenience.

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Note: New Patient Appointments Are Preferred 2 Weeks In Advance

Required for all patients under 18 years of age.

Required for all patients under 18 years of age.

Required for all patients under 18 years of age.

Required for all patients under 18 years of age.

Phone

Required for all patients under 18 years of age.

Required for all patients under 18 years of age.

Required for all patients under 18 years of age.

Required for all patients under 18 years of age.

Phone

Demographic Information

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This information is found on your 'Certificate of Indian Blood' card.

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Contact Information

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Phone
Phone

If none, write none@none.com

Insurance Information

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Emergency Contact Information

Please upload a photo of your identification, Insurance Card, and 'Certificate of Indian Blood' if applicable. IF YOU ARE USING THE COVID TESTING OR URGENT CARE SITE IT IS VERY IMPORTANT TO UPLOAD THESE DOCUMENTS. Also please bring these documents to SEARHC for your appointment in person.

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