The Buckeye Ranch | Records Request
The Buckeye Ranch | Records Request
Name of Individual Making Request:
Name of Individual Making Request:
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First
Last
Email of Individual Making request:
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Phone Number of Individual Making request:
Phone Number of Individual Making request:
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What best describes your request?
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What best describes your request?
I am requesting access to my records or my child’s records.
I am requesting that my records or my child’s records be sent to another organization/individual.
I am an organization requesting records of a client at The Buckeye Ranch.
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