Printable Forms

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When you have made an appointment with one of our counselors, instead of filling out forms in the session, you can download and print them from here, fill them in and bring them with you.

Here are the forms.  Please print and fill out both sides.

PPC Client info form

PPC Telehealth agreement

PPC Payment agreement and policies

PPC No Surprises Act Form

Also, please review our policies and grievance procedure, and keep a copy for your records.

PPC Clinic Policies and Grievance Procedure