Mindpath Health + PCSD Forms

For your convenience, our forms are available here so that you can read and complete necessary paperwork before your visit.

Submit forms online

Submit Forms by mail, fax, or email:

Mail: PCSD, PO Box 609001, San Diego, CA 92160
Fax: (619) 528-4625
Email: [email protected]

These documents are best viewed with Adobe Acrobat Reader installed on your computer. If you don’t already have it, you may download it for free by clicking here.</p

Patient Registration Form (English)	Patient Registration Form (Spanish)
Notice of Privacy Practices (English)	Notice of Privacy Practices (Spanish)
Authorization for Use and Disclosure for Medical Records	Authorization for Verbal Communication
Authorization Request Guide for Inpatient, Detox, Rehab, RTC, PHP, or IOP	Initial Authorization Form Instructions
Senior Initial Authorization Fax Form	Senior Concurrent Review Authorization Fax Form
Commercial Initial Authorization Fax Form	Commercial Concurrent Review Authorization Fax Form