Ponderosa Counseling Center

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    • New Patient Forms
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  • More
    • Home
    • ABOUT US
      • ABOUT US
      • MEET OUR TEAM
      • RATES
    • Services
      • PSYCHIATRY
      • THERAPY
      • GROUPS & WORKSHOPS
    • PATIENTS
      • New Patient Forms
      • Current Patients
    • CONTACT US

Ponderosa Counseling Center

Ponderosa Counseling CenterPonderosa Counseling CenterPonderosa Counseling Center
  • Home
  • ABOUT US
    • ABOUT US
    • MEET OUR TEAM
    • RATES
  • Services
    • PSYCHIATRY
    • THERAPY
    • GROUPS & WORKSHOPS
  • PATIENTS
    • New Patient Forms
    • Current Patients
  • CONTACT US

HELLO

Here are additional screening forms and PDF versions of our forms.

screening forms (CHILD & ADOLESCENT)

SCARED Screen- child (pdf)Download
SCARED Screen- parent (pdf)Download
YMRS Parent Version_ (pdf)Download
PHQ 9 Teen (pdf)Download

screening forms (aDULT)

MDQ (pdf)Download
ADHD Self Report (pdf)Download

Adult New patient forms

Adult Registration (pdf)Download
Medical History (pdf)Download
Cancellation Policy and Payment (pdf)Download
GAD-7 (pdf)Download
PHQ-9 (pdf)Download
Group ROI (pdf)Download

cHILD/aDOLESCENT New patient forms

Child/Adol. Registration (pdf)Download
Child/Adol. History (pdf)Download
Medical History (pdf)Download
Cancellation Policy and Payment (pdf)Download
Vanderbilt for Parent (pdf)Download
Group ROI (pdf)Download

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