Questions on How to Release Information

If you have questions on how to obtain copies of you records please complete the required fields in the box below and our office will contact you. Or click the link to the ROI Authorization form, complete the form and email or fax to our office’ ROI email- roiinbox@koc-pa.com ROI Fax 316-832-3925.

( * ) Your name, phone number and email are required fields.

get-adobe-reader