RECORDS REQUEST PROCEDURE

Middle Path Counseling MO/KS is committed to protecting client confidentiality while complying with applicable laws regarding the release of medical and mental health records. To ensure efficient processing of requests, the following procedure must be followed:

1. SUBMISSION OF REQUEST

All record requests must be submitted in writing using our official Release of Information (ROI) form signed by the client (or their legal guardian/representative).

REQUESTS SENT BY FAX WILL NOT BE PROCESSED.

Acceptable methods include:

• Secure email (encrypted) – admin@middlepathmo.com

• Mailed hard copy

• In-person delivery

2. FEES

Standard Records Request Fee: $125
Rush Processing Fee (optional): $50 (in addition to the $125)
Total for Rush Requests: $175

Payment must be received before processing begins and paid through Stripe Invoicing or Simple Practice.

3. TURNAROUND TIME

Standard requests are processed within 30 days of receipt of a valid ROI and payment.
Rush requests are processed within 7 business days, subject to provider availability.

4. PROCESSING

Records will only be released once:

• A valid signed ROI is on file

• All applicable fees are paid in full

Records will be provided in the format requested (paper or secure electronic copy) whenever possible.

5. COMMUNICATION

All inquiries regarding records requests should be sent to:

Email: admin@middlepathmo.com

Call/Text: 816.500.2070