Appointments

If you’re a participant and need an appointment, use the form below or contact us directly at (907) 463-7305. You have the option of an in-person visit or scheduling an appointment with one of our healers via Zoom for Health, a secure and online private platform. The safety of our participants, healers and staff remains our top priority.

Healthcare providers making referrals, please use the below form.

Participants

Scheduling an Appointment
Use the form below or contact us during clinic hours at (907) 463-7305 to make an appointment or for additional information.

Monday – Thursday: 8:00 am – 4:30 pm
Friday: 8:00 am – 4:00 pm

Provider Participant Referrals

Referring a Participant
To refer a participant, use the online form or download it and email it to healingcenter@tlingitandhaida.gov.

If you have any questions, please call us at (907) 463-7305.

Make an Appointment or a Participant Referral
This form is for both participants and healthcare providers referring a participant.

Participant Information

Was this referral discussed with the participant, and did the participant agree to be contacted? *

Yes
No
I'm referring myself

Note: referred individual will not be contacted without knowledge of the referral and agreement to be contacted.

Participant Name *

First

Last

Participant Date of Birth *

Participant Email *

Participant Phone *

Ok to leave a message? *

Participant Mailing Address *

Address

City

State

Zip Code

What type of support is needed? Use this space to provide a brief and general description. Do not include any sensitive health or confidential information. *

Name of Participant or Person/Agency Referring Participant

Your Name *

Agency/Healthcare Provider *

Phone Number *

Email Address *