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
*Please include a phone number to be reached at so that payment information can be obtained.
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.
for a confidential screeningCall Today 1-877-866-8661
The Heart of Phil Leedy Lane
“ Honestly the Bridge taught me something I already knew but had to remember. I am so damn special, valid, and important. Everyone in my life saw it, but me. The Bridge just showed me how to look in the mirror to see for myself. ”
- Jewel, Alumnus