Printable Patient Forms
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.
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.
Intake Paperwork:
| 2022_pcc_billing_policy.pdf |
| pathways_complete_intake_packet_2022.pdf |
Child / Adolescent Questionaire (17 years of age or YOUNGER):
| child-teen_pre-tx_questionnaire.pdf |
Adult Questionaire (18 years of age or OLDER):
| adult_pre-tx_questionnaire_2020.pdf |
24 Hour Cancellation Policy: Our clinic charges for missed appointments that are not cancelled 24 hours in advance.
This charge is not covered by insurance.
This charge is not covered by insurance.
Requesting Records
Fill out the form below and then mail to:
Pathways Counseling Center
11121 W. Oaklahoma Avenue
West Allis, WI 53227
Fill out the form below and then mail to:
Pathways Counseling Center
11121 W. Oaklahoma Avenue
West Allis, WI 53227
| authorization_for_release_of_information.pdf |