Department of Health > Health Care Services > Provider Resources

Applications, Sample Forms, & Resources

This page contains applications, sample forms, and resources for currently licensed assisted living homes. If you have any questions about the forms, please contact your licensing specialist.

Applications (Fillable)

Sample Forms (Fillable)

Self-Monitoring Inspection Report (Fillable)

Self-Monitoring Inspection Report

Sample Forms

Resources

Emergency Preparedness Toolkit for People with Disabilities is accessible via the Alaska State Libraries Archives & Museums digital collections portal.
Restraints and Restrictive Interventions is accessible via the Alaska State Libraries Archives & Museums digital collections portal.

Community Resources

How to Make the Right Choice is accessible via the Alaska State Libraries Archives & Museums digital collections portal.
Aging and Disability Resource Centers

Monthly Residential Licensing Training
Residential Licensing is now offering a monthly virtual training on the last Friday of every month from 10am to 12pm.

These trainings will cover select topics to increase your knowledge and understanding of Assisted Living Licensing statutes and regulations.

During these virtual training, all attendees’ cameras and microphone will be disabled. If you have any questions regarding the presentation, feel free to send your questions to your licensing specialist. If you do not have an assigned licensing specialist, send your questions to ALH.newhome@alaska.gov.

Note: All sessions will be recorded, and the closed captions will be enabled.

Topics to be covered:

January 26, 2024: Resident Files
February 23, 2024: Staff Files
March 29, 2024: Resident Right’s
April 26 26, 2024: House Rules
May 31, 2024: Incident Reporting
June 28, 2024: Residential Service Contracts
July 26, 2024: Assisted Living Plans
August 30, 2024: General Variances
September 24, 2024: Restraint and Restrictive Intervention
October 25, 2024: To be announced.
November 29, 2024: To be announced
December 27, 2024: To be announced

Copies of PowerPoint Presentations:

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