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Printable Patient Forms

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Already have an appointment?

Save time by filling out your forms before you come in by following the steps below:

1.   Select the appropriate intake and pre-treatment questionnaire packet for the client.

2.  Download, print, and fill out all questions to the best of your ability.

3.  Download, print, and sign the billing policy. 

4.  Bring the completed forms and your current insurance card to your first appointment

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Please note: our clinic charges for missed appointments not cancelled 24 hours in advance.

This charge is NOT covered by insurance.

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Click on the underlined text to download the desired form.

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Intake Paperwork

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Billing Policy

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Child / Adolescent Questionnaire (17 years of age or YOUNGER):

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Adult Questionnaire (18 years of age or OLDER):

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Requesting Records
Fill out this information release form and then mail to:
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Pathways Counseling Center
11121 W. Oklahoma Avenue
​West Allis, WI 53227

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24 Hour Cancellation Policy:
Our clinic charges for missed appointments that are not canceled 24 hours in advance.
This charge is NOT covered by insurance. 

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