Records Request

In order to provide comprehensive care, Pacific Mind Health may request medical records from your prior providers. To complete the request, please print out the Medical Records Release form and deliver it to the appropriate office.

Note:  If you plan to request prescriptions for any controlled substances including stimulants (Adderall/Vyvanse, etc) or Benzodiazepines (Xanax/Klonopin/Ativan, etc) – you must request treatment records be sent to our office by your previous provider(s) prior to your initial appointment.  

​Please request relevant prior treatment records be sent to our office (electronically preferred) prior to the time of your initial appointment. Click here for medical records release authorization form.