PACS Forms

Authorization for Release of Information/Request of Confidential Information

Informed Consent Agreement

Consent for Telehealth

Group Confidentiality Contract


Although electronic mail (email) is not a confidential means of communication, with your permission, PACS staff may communicate with you via email to provide resources, referrals, psychoeducational materials, or discuss scheduling concerns. Responses to emails may take up to two business days. Email will not be used for therapeutic interventions or urgent matters. Email communications will be documented in PACS electronic medical records.