You will receive a TEXT from the OhMD APP regarding the status of your intake paperwork.
ALL OF OUR APPOINTMENTS ARE CONDUCTED VIA TELEHEALTH (AUDIO/VIDEO)
SESSION DUE TO COVID-19.
ALL OF OUR APPOINTMENTS ARE CONDUCTED VIA TELEHEALTH (AUDIO/VIDEO)
SESSION DUE TO COVID-19.
Vertical Divider
-
Forms - Fillable Online
<
>
AVAILABLE FORMS
Please complete the 2 forms (Informed Consent and HIPAA & Privacy Act form) for adult patient and 3 forms for child/adolescent patients below in order to become a new patient of Pathways MHS.
In addition to the informed consent, please download the "provider addendum to the informed consent" once you are assigned to a specific provider.
Accepting United Health, Molina, and Amerigroup Medicaid/Apple Health Insurance
Vertical Divider
ADULT INTAKE FORMS:
|
CHILD & ADOLESCENT INTAKE FORMS:
|
OPTIONAL FORMS:
Provider Addendum to the informed consent
Please select your provider to open their informed consent:
release of information
reinstatement request form
Our Intake Process
|
Switch to Telehealth
|
PLEASE NOTE: We do not provide crisis services at our Lacey or Longview 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 below:
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
Phone: 360-586-2800
2. St. Peter’s Emergency Hospital:
413 Lilly Road, Olympia 98506
Phone: 360-491-9480
WA State Crisis lines:
Additional Crisis resources: