Pathways Counseling Center
  • Home
  • Services
    • Child and Family Therapy >
      • Abuse, Trauma and EMDR
      • Parenting Counseling
      • Self-Empowerment and Mindfulness
    • Problematic Sexual Behavior >
      • Sex Addiction and Sexually Compulsive Behavior
      • Spouses and Partners of Sex Addicts
      • Adult Problematic Behavior
      • Psychosexual Evaluations
    • Couples Counseling and Marriage Therapy >
      • Sex Therapy
      • Sexual Dysfunction
    • Transgender and Gender Affirmation
  • Therapists
    • David Bedrin
    • Patricia K. Connors
    • Lynn Dusold
    • Megan Gonzalez
    • Kewonia Hogans-Rhodes
    • Chesney Limas
    • Stevie Miller
    • Angela Myhre
    • Roger Northway
    • Julie Reichert
    • Carol Seydewitz
    • Brandie Tetzlaff
    • Jennifer Webster
    • Keisha Williams
  • Forms
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  • CONTACT US
    • Employment Opportunities

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 your therapist's billing policy. (This is located at the bottom of each therapist's page.)

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


Children/Adolescent Intake Forms (17 years of age or YOUNGER):
child-teen_intake_2020.pdf
File Size: 262 kb
File Type: pdf
Download File

child-teen_pre-tx_questionnaire.pdf
File Size: 188 kb
File Type: pdf
Download File

Adult Intake Forms (18 years of age or OLDER):
adult_intake_2020.pdf
File Size: 242 kb
File Type: pdf
Download File

adult_pre-tx_questionnaire_2020.pdf
File Size: 141 kb
File Type: pdf
Download File

Informed Consent for In-Person Services During COVID-19 Pandemic:
covid_informed-consent-form.pdf
File Size: 171 kb
File Type: pdf
Download File


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.

Requesting Records
Fill out the form provided to the right, then mail your completed form to:

Pathways Counseling Center
11121 W. Oklahoma Ave
West Allis, WI, 53227

authorization_for_release_of_information.docx
File Size: 1471 kb
File Type: docx
Download File

​Website Terms of Use
​Employment Opportunities
Pathways Counseling Center | 11121 W. Oklahoma Ave |
​West Allis | WI | 53227 | PHONE: 262-641-9790 | Fax: (262) 641-9791
​© 2021 Pathways Counseling Center.
​All rights reserved.
Website Design by Anara Consulting LLC
  • Home
  • Services
    • Child and Family Therapy >
      • Abuse, Trauma and EMDR
      • Parenting Counseling
      • Self-Empowerment and Mindfulness
    • Problematic Sexual Behavior >
      • Sex Addiction and Sexually Compulsive Behavior
      • Spouses and Partners of Sex Addicts
      • Adult Problematic Behavior
      • Psychosexual Evaluations
    • Couples Counseling and Marriage Therapy >
      • Sex Therapy
      • Sexual Dysfunction
    • Transgender and Gender Affirmation
  • Therapists
    • David Bedrin
    • Patricia K. Connors
    • Lynn Dusold
    • Megan Gonzalez
    • Kewonia Hogans-Rhodes
    • Chesney Limas
    • Stevie Miller
    • Angela Myhre
    • Roger Northway
    • Julie Reichert
    • Carol Seydewitz
    • Brandie Tetzlaff
    • Jennifer Webster
    • Keisha Williams
  • Forms
  • Resources
  • Groups/Events
  • CONTACT US
    • Employment Opportunities