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Positive Connections Plus LLC
  • Our Services
    • Individual Counseling
    • Trauma and Grief Counseling
    • Family Therapy
    • Children’s Recovery and Resiliency
    • Twin Falls Groups
    • Community Services
    • Developmental Therapy
    • Medical Clinic in Twin Falls
  • Meet Our Providers
    • Bellevue Providers
    • Twin Falls Providers
    • Meet Our Owners
  • Children’s Recovery and Resiliency
  • Crisis Management
    • Additional Resources
  • Patient Portal
  • Employee Portal Links
  • Contact Us
    • Our Locations
    • FORMS
    • Employment Opportunities
  • Our Services
    • - Individual Counseling
    • - Trauma and Grief Counseling
    • - Family Therapy
    • - Children’s Recovery and Resiliency
    • - Twin Falls Groups
    • - Community Services
    • - Developmental Therapy
    • - Medical Clinic in Twin Falls
  • Meet Our Providers
    • - Bellevue Providers
    • - Twin Falls Providers
    • - Meet Our Owners
  • Children’s Recovery and Resiliency
  • Crisis Management
    • - Additional Resources
  • Patient Portal
  • Employee Portal Links
  • Contact Us
    • - Our Locations
    • - FORMS
    • - Employment Opportunities

FORMS

Home/Contact Us/FORMS

Clink on individual links to download forms:

New Counseling Client – Intake Packet 

Psychological (Child) – Intake Packet

Psychological (Adult) – Intake Packet

Bariatrics & Pain – Intake Packet

Authorization for Exchange of Information – Blank

Authorization for Exchange of Information – Medical Provider

Notice of Privacy Practices/Rights&Responsibilities 

Adjusted Rate Program Application

2019 Adjusted Rate Scale Federal Poverty Guidelines

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HRSA National Health Service Corps

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  • Our Services
  • Meet Our Providers
  • Children’s Recovery and Resiliency
  • Crisis Management
  • Patient Portal
  • Employee Portal Links
  • Contact Us