Please see below instructions for requesting records from the following Pathways entities

• Children’s Behavioral Health
• Pathways Community Services
• Raystown Developmental Services
• The ReDCo Group

A patient, or his/her legal representative, may inspect and/or obtain a copy of their medical records, or have copies of medical records sent to another facility. Pathways requires a completed and signed Authorization for Use or Disclosure of Health Information form along with the additional required documentation before releasing medical records and/or Protected Health Information (PHI) to anyone, including the patient

How to Request a copy of your medical records

• Print and complete the Authorization for Use or Disclosure of Health Information form
• The release form must be completed, dated and signed
• Please be sure to include the date(s) of service requested
• We ask that you specify what components of your medical records you wish to obtain/release.
• Forms with any alteration (i.e. Crossed out or white out) will not be honored.

Additional Required Documentation:

• A Photocopy of a government issued ID for authorized consenting party
• Witness Signature on Authorization Form
• Legal Representatives and/or Guardians must also provide proof of their authority to sign for the patient.

If you have any questions regarding release of information, please email or call your local office where you currently receive service.
You may deliver your forms by mail to your local office where you receive services.