PROGRESSING ON PURPOSE COUNSELING
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POPC NEW SERVICE FORMS

All required forms must be filled out using the fillable pdf forms. Please print or email forms to progressingpurposely@gmail.com so that they are available for the first session or engagement.   
INFORMED CONSENT/DISCLOSURE

This required form will provide a full service disclosure and gain consent to the therapeutic process. 
Download
NEW CLIENT INFORMATION-ADULT

This required form will obtain personal and necessary information that will assist with therapeutic planning.
Download
NEW CLIENT INFORMATION-MINOR

This form is only required for new minor clients. Parents/guardians should fill out this form with the minors involvement.
Download

FINANCIAL AGREEMENT

This required form outlines the financial agreement for the therapeutic process between you and POPCounseling.
DOWNLOAD
SPEAKING ENGAGEMENT AGREEMENT

This form provides an overview of speaking engagement agreement and financial responsibility. 
DOWNLOAD
PRIVACY DISCLOSURE

This required form provides an overview of your privacy and disclosure rights as a client per HIPPA laws.
DOWNLOAD
RELEASE OF INFORMATION

This form is only required when you provide permission for release of information between another provider. 
DOWNLOAD
NEW GENERATIONS THERAPEUTIC PROGRAM 
Forms and information for this program is located under the New Generations Tab. Click below to be amazed, and start a new journey for your facility. 
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Progressing On Purpose Counseling, PLLC
8300 Cypress Creek Parkway Ste 472
Houston, Texas 77070


Office: 281-671-6804
Cell: 713-302-1030

progressingpurposely@gmail.com
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  • POPC Home
  • Trachelle Thomas
  • About POPC
  • Book Launch & Conversation Event
  • POPC Service Forms
  • Services
  • New Generations Program
  • Emergencies
  • Contact
  • POP Sources
    • Resources
    • Articles
    • Blog