Consumer Center/Telehealth

Consumer Forms and Publications

• A Guide to Pathways Services
• Accessibility – Request for Accommodations – Removal of Barriers
• Admission Information For New Consumer
• Authorization for Release and Exchange of Information with Primary Care Provider
• Complaint/Grievance Form
• Consumer Confidentiality Statement
• Consumer Orientation Acknowledgement
• Consumer Orientation Manual
• Consumer Intake Form
• Fee Agreement
• Fee Scale
• Fee Schedule
• General Consent to Care Treatment and Acknowledgement
• KHIE Authorization Form
• Mental Health Quizzes
• Person Centered Recovery Plan
• Release of Information Form

Spanish Forms

• Accessibility Request for Accommodation Removal of Barriers
• Authorization for Release and Exchange of Information with Primary Care Provider
• Complaint & Grievance Form
• Consumer Confidentiality Statement
• Consumer Orientation Acknowledgement
• Consumer Orientation Manual
• General Consent to Care and Treatment
• KHIE Explanation of Authorization Form
• KHIE Authorization Form
• Fee Agreement
• Fee Scale 
• Fee Schedule
• Person Centered Recovery Plan Signature Page
• Release of Information Form