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Requests for medical records can be made by submitting a HIPPA Release of Information form to the medical records department. You can also reach the medical records department by phone by calling 754-300-3120.
Forms can be submitted by emailing [email protected] or by faxing 888-887-3650. Please be sure to complete the form in it’s entirety and include a copy of the patient’s photo for verification purposes.
HIPPA Release Forms
For questions regarding billing, legal, human resources, or medical records please call 754-300-3120.
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NEW Guide for Loved Ones
Our state-specific resource guides offer a comprehensive overview of drug and alcohol addiction treatment options available in your area.
In-Network
Substance Abuse
Medical Detox
Residential
Aftercare
Dual Diagnosis
Not your location?
In-Network
Substance Abuse
Mental Health
Medical Detox
Inpatient
Aftercare
Dual Diagnosis
Inpatient Mental Health
Not your location?
In-Network
Substance Abuse
Medical Detox
Inpatient
Partial Hospitalization
Intensive Outpatient
Dual Diagnosis
Not your location?
In-Network
Medical Detox
Inpatient
Partial Hospitalization
Intensive Outpatient
Outpatient
Dual Diagnosis
Not your location?
In-Network
Substance Abuse
Mental Health
Medical Detox
Residential
Intensive Outpatient
Aftercare
Dual Diagnosis
Residential Mental Health
Not your location?
In-Network
Substance Abuse
Medical Detox
Inpatient
Aftercare
Dual Diagnosis
Not your location?
In-Network
Substance Abuse
Mental Health
Medical Detox
Inpatient Residential
Partial Hospitalization
Dual Diagnosis
Inpatient Mental Health
Not your location?
In-Network
Substance Abuse
Medical Detox
Partial Hospitalization
Intensive Outpatient
Aftercare
Dual Diagnosis
Not your location?
In-Network
Substance Abuse
Medical Detox
Residential
Partial Hospitalization
Aftercare
Dual Diagnosis
Not your location?
In-Network
Substance Abuse
Mental Health
Medical Detox
Inpatient
Partial Hospitalization
Dual Diagnosis
Inpatient Mental Health
Not your location?
In-Network
Medical Detox
Inpatient
Partial Hospitalization
Intensive Outpatient
Outpatient
Inpatient Mental Health
Outpatient Mental Health
Not your location?
In-Network
Substance Abuse
Mental Health
Medical Detox
Inpatient
Partial Hospitalization
Aftercare
Dual Diagnosis
Inpatient Mental Health
Not your location?