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.

Download

Real Hope Behavioral Health Authorization for Release of Information

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

Download

Real Health Primary Care Authorization for Release of Information

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

Download

Isaiah House Community Health Center Authorization for Release of Information

Download the Isaiah House Community Health Center Authorization for Release of Information form.

Download

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

Nationally Accredited

Isaiah House is licensed by the Kentucky Cabinet for Health and Family Services and accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). We are proud to partner with Medicaid and most major insurance providers to make treatment accessible and affordable for those in need.

Support the Mission
of Isaiah House

We invite you to donate today to support our efforts to save lives and restore families. Your contribution is very much needed and greatly appreciated.