Appointments

Making an appointment at the Remote Access Clinic

Here is the process for scheduling an appointment. Follow the links to print the necessary forms.

• Local primary care or behavioral healthcare provider requests an appointment by calling (907) 269-7219
• Local primary care or behavioral healthcare provider completes and sends referral forms and relevant clinical information:
• One page fee-for-service form.
• A demographic form for mental assessment (child or adult) or psychiatric assessment (child or adult).
• Clinical information. This may include:
• Therapist intake/mental health evaluation if available
• Most recent medical exam by primary care provider
• Medication list
• Most recent progress notes
• Emergency Room Visit Record, if applicable
• Appointment scheduled after receipt of referral packe

Prior to appointment:

• Provider and patient (or guardian) complete and fax patient documentation

For appointments with API staff (adult psychiatric appointments; child and adult mental health assessments)

• Authorization for Release of Information
• Patient consent to receive telemedicine
• HIPAA

For appointments with Seattle Children's Hospital staff (child psychiatric appointments)

• Authorization for Release of Information
• Patient consent to participate in telemedicine services
• Patient consent for care and financial agreement

API provider holds videoteleconference appointment with local provider and patient