• How to Request your Medical/Client Records

    An authorization form is required when:

    • You are requesting copies of Medical/Client Records
    • You want copies of records to be sent to another health care provider for treatment purposes
    • You need your health/client information to go to third parties

    Fees

    • Please note that a reasonable fee is generally charged for record copies.
    • Steps

      1. Print and fill out the appropriate ROI Authorization Form:
      2. Sign the form.
      3. Mail or Fax the form to:

      For all Human Services and Outpatient Mental Health/AODA Records:
      Human Services Center
      514 Riverview Avenue
      Waukesha, Wisconsin 53188
      (262) 548-7212
      Fax: (262) 548-7274

      For Mental Health Inpatient, Day Treatment or Community Support Records:
      Mental Health Center
      1501 Airport Road
      Waukesha, Wisconsin 53188
      (262) 548-7950
      Fax: (262) 896-8046

      For Public Health Records:
      Public Health Center
      514 Riverview Avenue
      Waukesha, Wisconsin 53188
      (262) 548-7212
      Fax: (262) 548-7274

      Pick Up
      A photo ID will be required if you pick up your own records. If you name someone else to pick up you records, please make him or her aware they will need to show their own photo ID.

      Read our Notice of Privacy Practices Regarding Health Information (Revised 9/13/2013)