{"id":67,"date":"2018-08-10T04:36:21","date_gmt":"2018-08-10T04:36:21","guid":{"rendered":"http:\/\/webbertest.com\/pathwayssite\/?page_id=67"},"modified":"2018-11-02T17:23:22","modified_gmt":"2018-11-02T17:23:22","slug":"request-medical-record","status":"publish","type":"page","link":"http:\/\/webbertest.com\/pathwayssite\/request-medical-record\/","title":{"rendered":"Medical Records"},"content":{"rendered":"

Please see below instructions for requesting records from the following Pathways Entities: Instrucciones y formulario en espa\u00f1ol<\/a>.<\/a><\/p>\n

Pathways Human Services of Florida
\nPathways of Massachusetts
\nPathways of Oklahoma
\nPathways of Texas
\nFamily Preservation Services of West Virginia<\/p>\n

Release of Information<\/h3>\n

A patient, or his\/her legal representative, may inspect and\/or obtain a copy of their medical records, or have copies of medical records sent to another facility. Pathways requires a completed and signed Authorization for Use or Disclosure of Health Information form along with the additional required documentation before releasing medical records and\/or Protected Health Information (PHI) to anyone, including the patient.<\/p>\n

How to Request Mental Health Records:<\/p>\n

    \n
  1. Print and complete the Authorization for Use or Disclosure of Health Information form<\/a><\/li>\n
  2. The release form must be completed, dated and signed<\/li>\n
  3. Please be sure to include the date(s) of service requested<\/li>\n
  4. We ask that you specify what components of your medical records you wish to obtain\/release.<\/li>\n
  5. Forms with any alteration (i.e. Crossed out or white out) will not be honored.<\/li>\n<\/ol>\n

    How to Request Substance Use Disorder (SUD) Records:<\/p>\n

      \n
    1. Follow all instructions under \u201cHow to Request Mental Health Records<\/li>\n
    2. Print and complete the Consent for Disclosure of SUD Records<\/a><\/li>\n
    3. The consent form must be completed, dated and signed<\/li>\n
    4. Forms with any alteration (i.e. Crossed out or white out) will not be honored.<\/li>\n<\/ol>\n

      Additional Required Documentation:<\/p>\n