Consumer Center/Telehealth

Consumer Forms and Publications

To get started or manage your care, choose the option that best fits your needs:

Start Services (New Clients)

New to Pathways? Start here to complete your intake information and to review/sign all required consents in one step:

• • Admission Intake For New Consumer

Share My Information

Need to allow us to share your information?

Authorize communication with provider (doctor, school, etc.):

• • Authorization for Release and Exchange of Information with Primary Care Provider
  • Authorization for Release of Information (School-Based)

Request records to be shared with another organization:

• • Authorization for Release of Information

Withdraw My Permission

Want to cancel a previous authorization?

Stop sharing information you previously approved:

• • Revocation of Authorization for Use and/or Disclosure of Protected Health Information

Update My Information

For updates like address, phone number, insurance changes, and annual updates:

• • Annual Update Form

General Info/Other Forms

• • A Guide to Pathways Services
  • Accessibility – Request for Accommodations – Removal of Barriers
  • Complaint/Grievance Form
  • Consumer Orientation Manual
  • Fee Scale
  • Fee Schedule

Spanish Forms

• Accessibility Request for Accommodation Removal of Barriers
• Authorization for Release and Exchange of Information with Primary Care Provider
• Authorization for Release of Information Form
• Complaint & Grievance Form
• 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