Appointment Request

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

SEARHC community location?*

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Appointment Type*

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

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What Sitka location would you like to be seen at?*

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Sitka Other

What Juneau location would you like to be seen at?*

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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.

Have you been seen at SEARHC before?*

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Do you need to Update your demographics/insurance?*

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.

Alaska Resident/Traveler Status*

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Other Status

What Cruise Ship Are You On?

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How did you hear about us?

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What is the reason for your appointment? Select Symptoms*

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Dental Request Type

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What is the reason for your appointment?*

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Other Illness / Concern:

Primary Care Provider

Preferred Appointment Date

Note: New Patient Appointments Are Preferred 2 Weeks In Advance

Last Name*

First Name*

Middle Initial

City and State of Birth*

Date of Birth*

Father's Name