How to obtain an Authorization for Release of Information Form
If you would like to obtain this form, you may call 244-3700 and request the form be mailed/faxed to you or you may stop by the MVTHS Principal's Office to pick one up. You can also click on the link below to bring up a copy of the Authorization for Release of Information Form that you can print, complete, and return.
Complete the form and return one of the following ways:
11101 N. Wells Bypass
Mt. Vernon, IL 62864
Principal's Office (A 120)
Your Authorization for Release of Information Form will be processed in the order in which it was received. Please allow three (3) to five (5) days after your form has been submitted for your records/information to be sent via USPS or to obtain it in person.