"TENDER HELP FOR TOUGH PROBLEMS"

Serving Southern Califnornia since 1983!


TPC Initial Appointment Forms

Please click on the forms below and then after the form appears in a new window, press print.

HOW ARE WE DOING? TPC Survey

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For Married Couples
Please print out 1 SET of forms 1 - 5 (2 of No. 4) complete and take with you to your first appointment.

For NON Married Couples
Please print out 2 SETS of forms 1 - 5 complete and take with you to your first appointment.

For Minors
Please print out forms 1 - 7 (skip No.4) complete and take with you to your first appointment.

For Individuals
Please print out forms 1 - 5 complete and take with you to your first appointment.

For Credit/Debit Cards
If you would like to pay with your credit or debit card, you may pay online PRIOR to your appointment - click on this link to pay online now www.turningpointcounseling.org/payonline.html

FORMS

1. Patient Information

2. Therapy Agreement

3. Limits of Confidentiality

4. Bischof Adult Symptom Inventory

5. Legally Required notice of Privacy Policies

6. Bischof Child Symptom Inventory

7. Treatment of a Minor

8. Release of Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



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Dr. Peter Robbins
Dr. Kevin Downing

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