You may obtain copies of your treatment records or a program attendance letter for your own use or have records sent elsewhere, but only at your written request.
You must complete a Consent to Release Confidential Information form and return it to us with your original signature.
- Open and print the Consent to Release Confidential Information Form.
- Complete and sign the release form. Please note: The signature on the release must match the original signature in your medical record.
- Mail or fax the form with your original signature to 573.442.3830.
For more information contact Tracy McIntyre at 573.875.8880 Monday through Friday, 8:00AM to 5:00PM or by email.