Request Information

Release of Information

To request your records please download and complete the forms below, and email the completed forms to med.records@isaiah-house.org or fax to (859) 800-4748.

Isaiah House Authorization for Release of Information

Download the Isaiah House Authorization for Release of Information form.

Real Hope Behavioral Health Authorization for Release of Information

Download the Real Hope Behavioral Health Authorization for Release of Information form.

Real Health Primary Care Authorization for Release of Information

Download the Real Health Primary Care Authorization for Release of Information form.

Have a questions? Contact us at (859) 375-9200 ext. 7