Greetings! If you are interested in requesting your records for your personal use, please follow these steps:
*Print out the ROI document here
*Fill out the document
*Send the document in to Kimberly Bratton, BSW, Client Relations Specialist via email at firstname.lastname@example.org or fax to her attention at 1(270) 777-1676
*Email or call Kimberly to give her your form of payment information
Please be advised that all records requests can take up to three business days for completion. The start of the three day process for this request starts on the day of your payment being made. Also, please note that staff members have a three week window to complete Discharge Summaries; if it has not been three weeks since your departure, please be patient while your documents are being completed by staff members. Due the high administrative costs of being a Non-Profit organization, we do charge 0.50 cents per page for self requests. There is a part on the ROI that talks about the charge, and you will have to check a box stating you understand the costs. Lastly, if you have any questions regarding the completion of the form please contact Kimberly via email or phone.