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 Information
* Last Name
* First Name
* Phone
Email Address
* Relationship to Patient
Patient Information
* Last Name
* First Name
Date of Birth
* MCSO Booking Number
Criminal Case Number
* Submitter’s Concern
Submit
* indicates a required field.
