Release-Obtain Information (ROI)
Except for requests by a client for their own records, KMHS cannot release client records to any party, including medical providers, without a signed KMHS Authorization to Release-Obtain Information Form on file.
ROI Completion and Submission Instructions
- Click here to download & print the ROI – en Español aqui.
- Client or legal guardian completes and signs the form.
- Mail or drop off the signed form.
Mailing Address:
Kitsap Mental Health Services
Attn: Records Department
5455 Almira Dr. NE
Bremerton, WA 98312
Drop off at:
KMHS Almira Campus (same as mailing address)
KMHS North Kitsap
1050 NE Hostmark St., Suite 250
Poulsbo, WA 98370
KMHS South Kitsap
1341 Bay St, Suite 110
Port Orchard, WA 98366