FCHD Contact Us Form
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This information remains confidential.   Make sure to provide accurate information, as our staff might need to follow-up for additional details.  Responses are monitored seven days a week. 

Our staff will not receive any reports that are submitted using anonymously or using false phone numbers/information.      
Name  (Please be accurate to avoid spam filter) *
Phone Number   (Please be accurate to avoid spam filter) *
Department *
If you need to schedule a clinic appointment you will need to reach out to our staff at 502-564-7647, Monday - Friday 8:00am - 4:00pm.  We cannot schedule appointments from this submission form.
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