PCS Forms


 Intensive Registration Form

Intake Information Form

 Authorization Form

 HIPAA Requirements

New Patient Registration Form

Sexual History

 Consent for Counseling a Minor

 Credit Card on File Agreement

 Notice to Medicare Patients

To schedule an appointment or request additional information, please contact us during our regular office business hours:
Monday - Friday
8:00 AM to 4:45 PM MST

Psychological Counseling Services

7530 E. Angus Drive
Scottsdale, AZ 85251
Tel - 480 947-5739 | Fax - 480 946-7795
pcs@pcsearle.com


©Copyright 2011 - Psychological Counseling Services, Scottsdale, Arizona.
All Rights Reserved.
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