AVAILABLE FORMS:
Currently Accepting New Patients !!!
New Patient Orientation begins September 1, 2018
Please complete the 3 forms (Child & Adolescent or Adult demographic, Informed Consent and HIPAA & Privacy Act form) below in order to become a new patient of Pathways MHS or Pathways Wellness Program.
New Patient Orientation begins September 1, 2018
Please complete the 3 forms (Child & Adolescent or Adult demographic, Informed Consent and HIPAA & Privacy Act form) below in order to become a new patient of Pathways MHS or Pathways Wellness Program.
Optional Form:
Provider Addendum to the Informed Consent: June 2018 Roster
Art Tolentino, PhD, LMFT
Loretta Crawford, MA, LMHC
Kelly Kimbell, MA LMHC
Mary Trukositz, MA, LMHC
David Moeglein, MSW, LICSW
Patricia "Pat" Beck, MA, LMHC
Kris Vegvari, MA, LMHC, MAC
Lisa Hanna, MA, LMHC
Judy Oliver, MA, LMHCA
Patrick Malley, MA, LMHCA
Cherry Foultner, MA. LMFTA
Daniel Barash, MA, LMHCA
Jen Shaffer, MA, LMHCA
Ana Watson - Clinical Intern
Katie Parker - Clinical Intern
Art Tolentino, PhD, LMFT
Loretta Crawford, MA, LMHC
Kelly Kimbell, MA LMHC
Mary Trukositz, MA, LMHC
David Moeglein, MSW, LICSW
Patricia "Pat" Beck, MA, LMHC
Kris Vegvari, MA, LMHC, MAC
Lisa Hanna, MA, LMHC
Judy Oliver, MA, LMHCA
Patrick Malley, MA, LMHCA
Cherry Foultner, MA. LMFTA
Daniel Barash, MA, LMHCA
Jen Shaffer, MA, LMHCA
Ana Watson - Clinical Intern
Katie Parker - Clinical Intern
PLEASE NOTE: We do not provide crisis services at our Lacey clinic. If you are in need of crisis-level intervention or are thinking about suicide, please stop now and seek immediate help through any of the following resources:
 National Suicide Prevention Lifeline
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Longview Clinic Crisis Resources:
1. Cowlitz County Crisis Line: 360-414-2029 2. St. Johns Emergency Hospital Phone: 360-414-2000 1615 Delaware St., Longview, WA 98632 |
Lacey Clinic Crisis Resources:
1. Thurston County Crisis Line: Phone: 360-586-2800 2. St. Peter’s Emergency Hospital: 413 Lilly Road, Olympia 98506 Phone: 360-491-9480 |
