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 records@centermh.org, faxed to (970) 252-3208 or brought in to any of our locations.
Records Request (fillable) 2.21.2019
Individuals request for access to PHI (fillable) 2.21.2019