Pathways Mental Health Services
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​Pathways Telehealth Clinic and Wellness Program Forms:
Please complete the 3 forms (Adult or Child & Adolescent demographic, Informed Consent, and HIPAA & Privacy Act) in order to become a new patient of Pathways MHS Telehealth or Pathways Wellness Program
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click here for the telehealth forms - fillable online

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​We cannot process your intake paperwork until we received all of the required forms and a copy of your insurance card and picture ID. You need to put your SIGNATURE on all of the required fillable forms​.
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​After completing the fillable forms, please fax  a copy of your photo ID and insurance card to (360) 846-1722 for the Telehealth Clinic. Once we have all forms and have verified your insurance coverage, we will call you to schedule an initial assessment.
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Notice: Due to Washington health care laws, the ROI form should be completed by clients age 13 and up if a parent or other party will need to communicate with us about scheduling or other information.

click here to go back to the main forms page
COMPANY:
About Us
Employment

Pathways Staff
Pathways Providers
SUPPORT:
​Email: ​ PMHS Admin
​
Text:   360-777- 7284
​Phone:  360-799-5782
NEW PATIENT:
Insurance
Hours of operation
​
Reinstatement Form
​
Release of Information Form
​Informed Consent & HIPAA

Therapy Interest Form ​
OUR SERVICES:
DOT-SAP
LGBTQI Services

Mental Health

Trauma Treatment/EMDR
Intake & Wellness Program


TELEHEALTH:
​​Telehealth
Crisis Resources
TRAINING:
Mental Health First Response
OTHER:
Clinical Supervision
​
Internship Program
Picture
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  • Home
    • Staff
    • Providers
    • Satisfaction Survey
  • Olympia Clinic
  • Mental Health Counseling Services
    • Mental Health >
      • Outpatient Services
      • Group Therapy
    • Trauma Focused Treatment
    • DOT - SAP Services
  • Therapy Interest Form
  • Online Testing & Screening
  • Patient Portal