Correctional Health Services
Clinical Liaison
CHS Clinical Liaison Contact Form
The Correctional Health Services (CHS) Clinical Liaison is a non-emergency service for sharing health-related information. During regular business hours, Monday - Friday, 8:00 AM - 5:00 PM, your message will be forwarded to clinical staff where the patient is housed for follow-up.
* Submitter Last Name
* Submitter First Name
* Submitter Phone
Submitter Email Address
* Submitter Relationship to Patient
* Patient Last Name
* Patient First Name
Patient Date of Birth
* Patient MCSO Booking Number
Patient Criminal Case Number
* Submitter’s Concern
Submit
* indicates a required field.
