Records Request Form

Please allow 3 to 5 business days to process your records request.

If other than the client is requesting records the client must sign a Release of Information Form indicating specifically what information may be released, to whom, and by what method.

Be as specific as possible when requesting Documents.

  • Note Dates of Service timeframe
  • Name specific Documents you are requesting
    • Mental Health Assessment
    • Psychiatric Assessment
    • Safety Crisis Plan
    • Education Records
    • Health Records
    • Medical Records
    • Discharge Summary