To request records from Psychiatric Wellness Center for yourself or another provider we require that you complete the following steps:

  1. Complete the Authorization to Release Medical Records from Psychiatric Wellness Center form in entirety (incomplete forms will not be processed and will delay your request. You will need to provide all correct phone, address and fax numbers).

  2. Upon receipt of your form we will send you an invoice for processing your records. The cost is 20 cents per page to fax or copy your record and additional cost for required certified mail (postage and handling included in invoice).

  3. After you pay your invoice, Psychiatric Wellness Center will process your request in 8-10 business days from the date your invoice was paid.

We ask that you read the  Authorization to Release Medical Records from Psychiatric Wellness Center in its entirety. Please be aware, although you may have signed a release for communication, if you are requesting that we send records via fax or mail you will need to complete the above process each time you request new information is sent on your behalf.

Authorization to Release Medical Records from Psychiatric Wellness Center Form