Patient Resources

Patient Forms

We are committed to supporting your journey towards better mental health and well-being. On this page, you will find essential documents to assist you in managing your care with us. These resources are designed to ensure that your interactions with our services are as smooth and effective as possible.

If you need to allow someone else to access your health records.

Send completed forms to [email protected] or via U.S. Mail to the following address:

RiverValley Behavioral Health
ATTN: Records
PO Box 1637
Owensboro, KY 42302

Authorization to Release Confidential Information

To address any issues or concerns regarding your experience with our services.

Send completed forms to [email protected] or via U.S. Mail to the following address:

RiverValley Behavioral Health
ATTN: Office of Consumer Affairs
PO Box 1637
Owensboro, KY 42302

Consumer Concern Form

If there is a need to correct or amend any personal health information we have on file.

Send completed forms to [email protected] or via U.S. Mail to the following address:

RiverValley Behavioral Health
ATTN: Privacy Office
PO Box 1637
Owensboro, KY 42302

Request to Correct or Amend Personal Health Information