Welcome to the Koha Health Attorney Request Page
There are 4 steps which are required to fulfill the request:
- Fill out a Patient Data Request Form
- Email Patient Signature Page to Koha
- Koha staff fulfills request
REQUEST FORM: Hit Continue and you will be directed to fill out a form to be processed by the Koha Health Team.
EMAIL PATIENT SIGNATURE: Please email the patient signature page to ATTORNEYREQUESTS@KOHAHEALTH.COM with the subject “Attorney Request”.
KOHA FULFILLS REQUEST: A Koha Health team member will securely email you the requested information within 3-5 business days.
If you have any questions during the process, please contact us at 603-673-9411.