Peace River Psychology Center
Patient Forms
Please download and fill out these forms before your first visit. 
You will need to complete a few forms before we see you for the first time. These forms are available for download below, or you are welcome to arrive 15 - 20 minutes prior to your first appointment to complete the forms in the office. If you have not been to our offices before, or are not certain where the office is, please leave yourself extra time before your initial appointment in case you have trouble locating the office.
You can see a map to each of our offices on the Contact Page.
When the appointment begins, there is no pressure on you to know where to start or what to talk about. We will help guide you through the session. However, it can be helpful for you to consider what you want us to know about your current struggles, areas of your life or your past that would help us understand you better as a person, and goals that you have for therapy (i.e., if therapy were ultimately helpful, what would be different for you?).
Click on each form, download to your computer,
then print and fill out
these forms, and bring them with you for your first appointment:
PRPC Consent Form
Informed Consent for Treatment and Financial Agreement.
PRPC New Patient Information Form
Questions about the patient.
PRPC Patient Health Questionaire
Questions about your health.
PRPC HIPAA Privacy Notice
Notice Regarding your Right to Privacy.