PFA COUNSELING AND ASSESSMENT
  • Home
  • Staff
  • Locations
  • Services Offered
    • Domestic Violence (DV) Treatment
    • Relapse Prevention/Substance Abuse (RP/SA)
    • Parenting Education
    • Cognitive Behavioral Therapy (CBT) Substance Abuse
    • Dialectical Behavior Therapy (DBT)
    • Hope & Healing Grief & Trauma Therapy
    • Driving Under the Influence (DUI) Therapy
    • Mental Health and Wellness Therapy
    • Mental Health Evaluation
    • Psychological / Medication Evaluations
    • Stress Management and Communication Seminars
  • How To Contact Us
  • How to Pay
  • Important Information
  • PFA Forms
  • Insurances Accepted
  • DUI Enrollment

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General Intake Disclosures
General Information Form​
Release of Information 2023
Disclosure - PFA General
​
Agreement - Tele-Health Disclosure Notice
​
Disclosure Evaluation
Notice of Limits of Client Confidentiality 2020
Agreement – Payment of Fees
Disclosure - HIPAA
Disclosure - Office Policies & Informed Consent
Agreement - Group Rules & Ettiquette 
Surprise-Balance Billing Disclosure Form
PFA Disclosure Read & Sign 2020
Interstate Compact Form
Disclosure - Advanced Directives
Agreement - Medicaid [if Applicable]
Testing Forms
ACE Questionnaire
​Beck's Depression Inventory
Cannabis Use Disorder Identification Test
​DAST
Gambling Screen
Life Events Checklist
Mood Disorder Questionnaire
Michigan Alcohol Screening Test
Generalized Anxiety Disorder Scale
Infectious Disease Screening
PTSD Checklist
Individual Disclosures
​Individual Disclosure - CS
Individual Disclosure - JS
Individual Disclosure - JT
Individual Disclosure - MP
Individual Disclosure - KT
Individual Disclosure - KF

Individual Disclosure - CC​
Individual Disclosure - 
MM
DV Specific Intake Packet
PFA Victim Release 2021
PFA DV Core Comp Eval Disclosure 2020
Agreement – DV Telehealth Therapy
DV Welcome Packet FAQ 2020
Comprehensive Treatment Plan
2022

DVI
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  • Home
  • Staff
  • Locations
  • Services Offered
    • Domestic Violence (DV) Treatment
    • Relapse Prevention/Substance Abuse (RP/SA)
    • Parenting Education
    • Cognitive Behavioral Therapy (CBT) Substance Abuse
    • Dialectical Behavior Therapy (DBT)
    • Hope & Healing Grief & Trauma Therapy
    • Driving Under the Influence (DUI) Therapy
    • Mental Health and Wellness Therapy
    • Mental Health Evaluation
    • Psychological / Medication Evaluations
    • Stress Management and Communication Seminars
  • How To Contact Us
  • How to Pay
  • Important Information
  • PFA Forms
  • Insurances Accepted
  • DUI Enrollment