Presbyterian Counseling Center Cultivating Growth and Healing of Individuals, Couples, & Families for Over 35 years
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Presbyterian Counseling Center
336-288-1484
3713 Richfield Rd.
Greensboro, NC 27410


PCC@presbyteriancounseling.org

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Helpful Forms

If you're a new client, please complete the following forms, as appropriate, and bring them to your first therapy session.

  • Adult Psychotherapy Intake Form
  • Child / Adolescent Psychotherapy Intake Form
  • Suboxone Treatment for Opiate Abuse: Client Intake Forms
  • Therapy Cancellation Policy
  • PCC Privacy Practices Form
  • Acknowledgement of Receipt of PCC Privacy Practices (Signature Required)
  • Information Sheet

If you would like us to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

  • Authorization to Disclose Information Form


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