Have you been accepted as a patient?
We encourage our patients to fill out the required paperwork prior to their first appointment. Please see the forms attached below. When completed, print these forms out and bring them to your first appointment.
The Information Sheet and Service Contact provides our staff with your official contact information and provides the staff with accurate billing information.
The Admission and Consent to Treatment Agreement has information that is vital for our clients to read through including information about billing.
The Personal Assessment provides the therapists with an accurate representation of your assessment of your current situation.
The Social Media Policy explains that clients are not allowed to friend PFRC staff on any form of social media.
The Patient Bill of Rights informs the clients of their rights as a client- you do not need to print this form, it is just here for your convenience.
The Admission Document Checklist is a review of all of the documents a New Client should receive at their initial appointment.
The following form is OPTIONAL*
The Informed Consent for Telepsychology is a consent form for use when one is unable to attend in person sessions.
*It is not required to fill out this form if you wish to exclusively be seen in person.
*If you wish to be seen virtually, this form must be filled out and returned to us prior to any telehealth appointments.