Resources & Forms

• Authorization to Release Confidential Information (English)
• Authorization to Release Confidential Information (S’gaw Karen)
• Authorization to Release Confidential Information (Spanish)
• Consumer Concern Form (Burmese)
• Consumer Concern Form (English)
• Consumer Concern Form (S’gaw Karen)
• Consumer Concern Form (Spanish)
• Discount Program Application Form (Burmese)
• Discount Program Application Form (S’gaw Karen)
• Discount Program Application Form (Spanish)
• Request to Correct or Amend Personal Health Information (Burmese)
• Request to Correct or Amend Personal Health Information (English)
• Request to Correct or Amend Personal Health Information (S’gaw Karen)
• Request to Correct or Amend Personal Health Information (Spanish)

For more information on financial assistance, please go to the Financial Assistance page.

• Discount Program Application Form (English)
• Financial Assistance Application and Instructions
• Financial Assistance Plain Language Summary
• Financial Assistance Policy KY
• Financial Assistance Sliding Fee Scale

• How to Administer Narcan
• Social Services Directory
• Tobacco Cessation Support

• Basic Board Responsibilities
• Board Member Application

• RFP 2022-1: Janitorial/Housekeeping Services for RiverValley Behavioral Health Facilities
• RFP 2022-2: Food Preparation Services for RiverValley Behavioral Health Children’s Hospital