Important Forms

HIPAA Compliant Online Forms

Request Medical Records
(HIPPA Compliant)

Want to download a physical form?

Where do I email my form?

Medical Record Request:

Filing a Complaint, Grievance, or Quality of Care Concern:

Release of Information Request:


MIND 24-7 is fundamentally changing the landscape of accessible behavioral health by offering walk-in crisis mental health and substance abuse services such as Psych Express Care, Psych Crisis Care, and Psych Progressions. MIND 24-7 fills the gap for those seeking help by being available right when they need it – 24 hours a day, 7 days a week. Using innovations in value-based care models to improve and expand access to care, Mind 24-7 not only enhances quality patient care, but reduces pressure on the system, reducing costly emergency room visits, in-patient treatment, and readmissions for crisis care.