Forms

Positive Perspectives, Inc. has two sets of forms: one for adult clients, and one for children and adolescents. When you call for your initial appointment, you can choose to wait and fill out the packet at the office, you can have the forms mailed to you, or you can 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 each form at 100% in a new window click on page selection.

Adult Packet

• Welcome Letter and Rights and Responsibilities/HIPPA Form
• Adult Intake Form
• Adult Health Assessment
• Signature Page-Contact Authorization
• Financial Policy
• Confidentiality and Professional Records

Child and Adolescent Packet

• Welcome Letter and Rights and Responsibilities/HIPPA Form
• Child Intake Form
• Child Health Assessment
• Signature Page-Contact Authorization
• Financial Policy
• Confidentiality and Professional Records

Re-admit Clients / Current Clients with New Information

• Update Information Form