Records Requests

Please use these forms if you would like to request records from The Center for Mental Health. A valid (ROI) Authorization for Use and Disclosure of Health Information is required for any outside records requests.  This form can be emailed to, faxed to (970) 252-3208 or brought in to any of our locations.

Third-Party Records Request (fillable)

Individual request for access to PHI (fillable)

ROI MH-SUD (fillable)

Spanish ROI MH-SUD (fillable)