Psychological Training and Consultation Center Forms

Below you will find several forms that your clinician will ask you to complete before your first appointment. Do not fill out or submit these forms unless you have been requested to do so by your clinician. Please call the clinic at 989-774-3904 with any questions. We look forward to meeting with you!

• PTCC Informed Consent (PDF file)
• Carls Center Notice of Privacy Practices (PDF file)
• Carls Center Patient Registration (PDF file)
• Authorization to Request/Release Protected Health Information (PDF file)
• MyChart Access Age 12 - 17 (PDF file)
• MyChart Access Birth - Age 11 (PDF file)
• Financial Assistance Application (PDF file)