Public Records Requests
Requests for Public Records may be made in person, verbally, in writing, or via email. The use of this form is optional, but requests must include a description of the records requested with sufficient clarity to allow the Tri-County Board to identify, retrieve, and review the records; and information on how the requested records are to be delivered, as appropriate. Requesters are not required to provide their identity nor the intended use of the requested Public Record. Please see www.tcbmds.org/108 for the complete text of Board Policy 108 Public Records.
Depending on format, number of documents requested, and method of delivery, costs may be incurred by the requester. For calculated costs exceeding $10, the requester will be required to pay in advance. See www.tcbmds.org/108 for how costs are calculated.
NOTE: If you are preparing a request for Medical Records or Protected Health Information related to treatment history, please note that the Tri-County Board of Recovery & Mental Health Services is an administrative agency and does not provide clinical services of any kind, and therefore does not maintain any type of medical or PHI records on clients. We may be able to help determine which treatment provider you should direct your request for PHI records to, or refer to the Service Provider Network page.
Questions or requests for records can be directed to [email protected].
Depending on format, number of documents requested, and method of delivery, costs may be incurred by the requester. For calculated costs exceeding $10, the requester will be required to pay in advance. See www.tcbmds.org/108 for how costs are calculated.
NOTE: If you are preparing a request for Medical Records or Protected Health Information related to treatment history, please note that the Tri-County Board of Recovery & Mental Health Services is an administrative agency and does not provide clinical services of any kind, and therefore does not maintain any type of medical or PHI records on clients. We may be able to help determine which treatment provider you should direct your request for PHI records to, or refer to the Service Provider Network page.
Questions or requests for records can be directed to [email protected].

public_records_request_form.pdf | |
File Size: | 288 kb |
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