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EHI Request

Centria Autism is committed to a culture of transparency.

Clients are offered access to their Electronic Health Information (EHI) through our request system below in a format of their choosing.

Should you not have the information necessary to complete the form please consult with your treatment team (Supervising Clinician or Field Staff Manager/Operations Director).

Note: All documentation will be sent to the contact information we have on file. Please allow 10 Business Days for delivery.

If you encounter difficulties in completing this form please contact your treatment team for assistance.

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