Give Talkiatry permission to share your records
Use this form if you need Talkiatry to share your records with another healthcare clinician or party, or if you need copies for yourself. You’ll need to fill out a copy of this form for each party you’d like us to share with.
Download form ›Email completed forms to:
medicalrecords@talkiatry.comLet Talkiatry obtain your records from someone else
Use this form if you need another clinician or party to share your information with your Talkiatry clinician. You’ll need to send a completed copy of this form to us as well as each clinician or party you’d like to send us your records.
Download form ›Email completed forms to:
medicalrecords@talkiatry.com
Other documents
Use this link below to submit front-and-back pictures of your insurance card and government-issued photo ID, or to upload additional documents about your medical history.
Upload documentsHow we protect your data
We use state-of-the-art security technology to keep your data safe, and we never sell it or authorize it for third-party use outside of conducting medical treatment.
Read our privacy policy.
Read our privacy policy.
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For California and New Jersey patients: billpay.talkiatry.com
For all other patients: pay.talkiatry.com
