Release of Information


Your mental health treatment information is kept private under federal HIPAA regulations.  If you wish to share the information with a family member or another person in your care circle, fill out this form.  It may take us up to 7 days to fill your request.

Additionally, if you need a letter or a form filled out for any reason, you've come to the right place.  Examples may provide include: disability paperwork, a letter for work or school, or an emotional support animal exemption. Send us a request and we'll do our best to work with your provider within 7 days.

Release of Information Request