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Forms

BH Informed Consent _04.10.20

BFC BH RELEASE OF INFORMATION_2020

Registration Form

Privacy Notice

ROI from BFC

ROI to BFC

Sliding Scale Form

Sliding Scale Schedule

BFC Practitioner Application Form

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  • Quick Contact

    Bethel Family Clinic
    Box 1908
    Bethel, AK 99559

    Phone 907-543-3773

    Fax 907-543-3545

    Executive Director - Don Black
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