Patient Information

Forms

Release of Information – This form allows Homer Medical Center to request or send your medical records to another facility or provider. It’s important that this for be completed in full.  You can fax, drop off or mail this form to us or the facility you would like your records sent from. Contact medical records at 907-435-3051 with questions.

Asthma History Form – Please fill out our Pediatric Asthma an/or Allergy form prior to your appointment.

Student Health Review/Exam form – Please fill out page 1 only and bring both pages along with you to HMC’s Free High School Sports Physicals Day on July 23, 2022 or to your scheduled high school student sports physicals appointment.

COVID-19 Treatment EUA/Fact Sheets:

Paxlovid

Bebtelovimab