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Important Forms

Convenient HIPAA Compliant Online Forms

Please note that medical records are processed Monday - Friday, 8:00 AM - 4:30 PM.
Please allow up to 5 business days to process this request.

Want to submit your form the old-fashioned way?

Download the physical form(s), then email to the addresses listed below.


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 Express Care, Crisis Care, and Progressions. We the gap for those seeking help by being available right when needed – 24 hours a day, 7 days a week. Our Innovative value-based care model improves and expands access - not only enhancing quality care, but reducing pressure on the system, avoiding costly ER visits, in-patient treatment, and readmissions for crisis care.

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