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:
Note: To download Adobe Acrobat Reader for free, click here.



