Request for Release of Records

  • Forms

     

    Authorization for Release of Immunization/TB Records
    Alaska Department of Health and Social Services' authorization to release immunization and/or TB records from another provider to Anchorage School District

     

    Consent for Release of Health Information

    Authorization for use or disclosure of health information between medical providers and school district

     

    Consent for Release of Education Records

    Authorization for use or disclosure of education records


     

    Obtaining the shot or TB skin test record

     

    Immunization records requests may be placed for current and former Anchorage School District students.

     

    • the parent or guardian if the student is under the age of 18 
    • the eligible student who is 18 or older

     

    When a student is transferring within the district, their record will follow them in our Information System and the receiving school will have access.

     

    For a student who has graduated from or left the district, a request needs to be made to the Student Records Department, 5530 E. Northern Lights Blvd., Anchorage, Alaska 99504, Phone: 907-742-4607, Fax: 907-742-4644.

     

    Request for Transcripts or Student Records