Become a Client

For our new clients, many of our forms can be filled out and submitted securely to our Behavioral Health Clinic registration office in Anchorage at registration@apiai.org.

You may also download the forms, print them out, and bring them to the APIA Main office location in Anchorage and direct them to: Attention APIA Behavioral Health Clinic– Registration  

During COVID-19 all behavioral health services are conducted via Telehealth and our Behavioral Health Clinic is closed to in-person office visits until further notice. 

NEW CLIENTS

Please download and complete the following forms prior to your first appointment:

• • New Client Registration Form
  • Client Screening Form- Coming Soon!
  • Acknowledgement of Receipt of Notice of Privacy Practices, Patient Rights and Responsibilities (HIPAA) Form

You will also need to EMAIL a photo or a scanned copy of your: 

• • Health Insurance Card
  • Identification Card

Please review these forms prior to your first appointment. 

• • Notice of APIA Privacy Practices and Patient Rights and Responsibilities Form
  • Telehealth Information

CURRENT CLIENTS

For established clients, your provider may request these additional forms to be filled out or reviewed:

• • Annual Update Client Registration Form
  • APIA Release of Information (ROI) Form 
  • Telehealth Information

PROVIDERS

If you are a medical/other provider, please make sure your clients are interested and aware of a referral to APIA Behavioral Health.  Please download and fill out a copy of the APIA BH Referral Form .  Please email it to registration@apiai.org or fax it to 907-279-4351.

• • APIA BH Referral Form

For State of Alaska referrals for children’s services, if the State of Alaska has legal custody of the child, please complete a Release of Information for the adult who provides day-to-day care for the minor child. 

• • APIA Release of Information (ROI) Form

PAYING FOR SERVICES AND INSURANCE INFORMATION

We accept Medicaid/ Medicare/ VA benefits and private insurance. Please bring a copy of your Insurance card to your initial appointment, any time there is a change in coverage, or you receive an updated card. 

During COVID-19 all behavioral health services are conducted via Telehealth and our Behavioral Health Clinic is closed to in-person office visits until further notice.   Please email photos or scanned in copies of your ID and Insurance Cards to registration@apiai.org or bring copies of them to the APIA Main office location in Anchorage: Attention APIA Behavioral Health Clinic- Registration.

If you do not have insurance, we will work with you to help determine your costs.  APIA offers self-pay pricing for Behavioral Health Services.  For those who may quality, APIA offers a APIA Behavioral Health Sliding Scale Application Form for self-pay uninsured or under insured clients. No one is denied access to services due to inability to pay. 

• • APIA Behavioral Health Service Fees
  • APIA Behavioral Health Sliding Scale Application Form

We offer Payment Plans as an easy way to pay balances off. If your account is more than $50, you may schedule automatic payments in monthly installments.  Payment plans are interest-free for up to 24-months and can be set up with one of our registration and scheduling technicians.  

• • APIA Payment Plan Form

If you have patients with questions or concerns about a bill you have received from APIA, you may contact the APIA behavioral health front desk or contact the APIA third-party billing service HRG directly.

1) HRG self-pay phone number is:  1-888-210-6493

2) HRG/APIA self-pay website is:     https://apiai.webview.com

VETERANS AFFAIRS SERVICES

We are blessed with safety and security at home because of the hard-fought sacrifice of so many men and women who have worn a uniform. APIA respects and supports veterans. APIA accepts Veterans Administration benefits to provide mental health services for all eligible veterans. These services include assessment, diagnosis, treatment and rehabilitation of mental disorders.