Center for Psychiatry and Mental Wellness

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New Patients: Adult

New Patients: Child

New Patients: Child, School-Based

Privacy Practices and Bill of Rights

Medical Records Release Forms

Click below to download our medical records release forms. Use page 1 to have your records SENT to another facility; use page 2 to request that MAHEC receive your records from another office. Note that a fee will be charged if you are requesting the records for yourself. There is no charge for sending records to another facility.

MEND Telemedicine Consent Forms

You will sign these forms electronically at the beginning of your telemedicine visit. If you would like a copy for your records, please click below.

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