Request appointment | Pathways Psychological Associates P.L.C

Pathways Psychological Associates P.L.C

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1 Appointment info

2 Prescreener

Reason for care

3 Contact information

What is the reason for seeking care?

Anxiety Attentional difficulties Behavioral issues Depression Grief Relationship issues Substance use Trauma Other ADHD Assessment

What mental health concerns or treatment have occurred in the past?

In therapy now In therapy in the past Taking psychiatric medication now Taken psychiatric medication in the past Hospitalized for mental health reasons now or recently Hospitalized for mental health reasons in the past Known neurologic or genetic disorder Attempted suicide in the past None of these apply

**For prospective clients of Kaisey Foltz, LLP ONLY**

All appointment requests for minors/couples will automatically be reassigned to Donald Miller, LLP or Declined

I confirm I am over 18 years of age as I acknowledge Kaisey Foltz, LLP does not work with minors I confirm that I am an individual as Kaisey Foltz, LLP does not work with couples

**FOR ADHD TESTING REQUESTS ONLY**

I understand ADHD testing MUST be done in the office and cannot be done virtually

For medical emergencies, contact your healthcare provider or call 911. For mental health crises, call or text 988.

Pathways Psychological Associates

269.685.6363 |

Richland, Michigan

Main Location

9037 E D Ave
Richland, MI 49083-9454

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THE CLIENT PORTAL IS NOT TO BE USED FOR EMERGENCY SITUATIONS. IF YOU OR OTHERS ARE IN IMMEDIATE DANGER OR EXPERIENCING A MEDICAL EMERGENCY, CALL 911 IMMEDIATELY.