Positive Perspectives Counseling Centers have two sets of forms: one for adult clients, and one for children and adolescents. Once you are scheduled for your initial appointment, you can:

  • Choose to arrive early for your scheduled appointment and fill out the packet at the office
  • Have the forms mailed to you
  • Download them now and complete them at home

Feel free to call with any questions or to leave something blank if you’d prefer to speak with your therapist first.

To view and print all the forms required, use the gold “Download” buttons in each category.

If you need only specific forms, click the “Download Individual Forms” link to show a list of the forms available. Then to view each form at 100% in a new window click on page selection.

Adult Forms

Child and Adolescent Forms

Directions: We appreciate your interest in our practice! If you are a parent/guardian who has shared or sole custody of your child, please fill out the following forms:

Directions: These forms are for the “Alternate Parent”–the other parent who has either shared custody with the child in residence, or the parent who is non-residential or non-custodial. Please fill out the following forms:

Returning Clients or Current Clients with New Information

Directions: If you (or your child) are returning for treatment and it has been less than 6 months since you were last seen, please fill out the following form. If you are a current client with new information, please update us with the following form. 

If it has been more than 6 months since your last appointment, please complete the full packet for either adults or child and adolescents. Thank you!

Clients Choosing Self-Pay

Miscellaneous Forms