Please allow up to 10 business days for delivery of records. A $25 processing fee may apply. If follow-up is required to complete the request, the timeline may be extended.

Please print all 3 pages, complete, and send to:
office@highpointcounseling.com or fax to (307)224-2128
*Incomplete requests will not be processed*

To Print:

1. Click the "Pop-out" icon in the top right corner of the document
2. Click the "Print" icon in the top menu bar 

You may also pick up a paper copy in our office or have one emailed to you