Forms
Privacy Notice
This privacy notice describes how medical information about you, as a REACH client, may be used and disclosed and how you can get access to this information.
The form includes an acknowledgement page a client or guardian may sign.
Download REACH Privacy Notice (PDF Format)
Grievance Policy
REACH offers a grievance process in order that each client knows how to address any concerns they may have with services they receive from the agency.
Download REACH Grievance Policy (PDF Format)
Other Forms
DD Eligibility Consent for Release of Information (
Word
or
PDF
)
DD eligibility application (
Word
or
PDF
)
Infant Learning Program Referral (
Word
or
PDF
)
REACH Services Referral Form (
Word
or
PDF
)
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REACH 213 Third Street, Juneau, AK 99801
Phone (907)586-8228 Fax(907)586-8226
