Disclosure and Forms

Click the links below to download the relevant document.

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MTG Disclosure Statement

MTG Disclosure Statement (general policies)

MTG Declaración de Divulgación (políticas generales), Español – Effectivo Agosto 31, 2023 

General Forms

Notice of Privacy Practices

Release of Information Forms

RELEASE OF INFORMATION (ROI) FAQS

Arizona
Arizona

ROI FORM

Colorado
Colorado

ROI FORM

Nevada
Nevada

ROI FORM

Oregon
Oregon

ROI FORM

Washington
Washington

ROI FORM

Revoke your Release of Information (ROI)

Revocation of Release of Information Online Form

Fremont

Questions?

Phone: 425-292-8970

Text: 425-321-3920

Fax: 602-294-2385

Email: frontdesk.az@mindfultherapygroup.com

See Our Arizona Locations

Highlands Office

Questions?

Phone: 425-292-8970

Text: 425-321-3920

Fax: 303-484-6996

Email: frontdesk.co@mindfultherapygroup.com

See Our Colorado Locations

Tacoma Lobby

Questions?

Phone: 425-292-8970

Text: 425-321-3920

Fax: 702-442-7329

Email: frontdesk.nv@mindfultherapygroup.com

See Our Nevada Locations

Vancouver Lobby

Questions?

Phone: 425-292-8970

Text: 425-321-3920

Fax: 971-352-6984

Email: frontdesk.or@mindfultherapygroup.com

See Our Oregon Locations

Elliott Bay Image

Questions?

Phone: 425-292-8970

Text: 425-321-3920

Fax: 425-640-9600

Email: frontdesk.wa@mindfultherapygroup.com

See Our Washington Locations