Medical Records
Complete the Records Request Form below to share or gain a copy of your medical records.
Records Request
A client can request a copy of their medical records be sent directly to them or another person or organization.
Additional Avenues
You can fax to 937-813-4105
or mail in a records request:
ATTN: Records Department
4977 Northcutt Pl.,
Dayton, OH 45414