UA-144972117-1 Initial Paperwork & Forms | Positive Change Counseling Center

Initial Paperwork and Forms

For all NEW clients: Please click-on and complete the appropriate forms and bring them to your first appointment:

NEW CLIENT PAPERWORK to be completed prior to first appointment

CHILD-ADOLESCENT CONTRACT to be completed and signed by both parents/guardians for all clients under age 18

Privacy form:

"Notice of Privacy Practices" - for your records only

Release of Information this form should only be used if you would like us to share any confidential information with a third party outside of PCCC

Please complete all necessary paperwork prior to your first appointment.

  • Facebook
  • Instagram
  • LinkedIn Social Icon

Positive Change Counseling Center

(619)-733-6414

©2019 Positive Change Counseling Center