Becoming a patient at Palouse River Counseling can happen in many different ways, depending on ones circumstances. These steps are intended for those seeking individual treatment. If you are seeking other services, or if you are unsure what you may be looking for, please give us a call at (509) 334-1133.
CONSENT TO RESUME IN-PERSON SERVICES
| Informed Consent COVID In Person Services |
REQUESTING INDIVIDUAL SERVICE
There are two main ways that you can request individual service at Palouse River Counseling.
- You can fill out either our 'Mental Health Request For Service' form or our 'Chemical Dependency Request For Service' form, depending on your needs and bring it in to our office or fax it to us.
- Or you can call us at (509) 334-1133 during business hours and someone will assist you with your request.
INTAKE FORMS
Once you've been scheduled for your intake appointment, feel free to print out the appropriate form packet and fill it out before coming to your appointment. If you are unable to or do not wish to print these forms, you are welcome to fill them out in our office when you arrive for your intake appointment.
MENTAL HEALTH:
MENTAL HEALTH:
- Please print, fill out, and then bring these forms with you to your intake appointment.
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2. Please review the below packet for your information. These documents do not need to be printed or filled out.
| 12_advocacy_and_notice_packet.pdf |
Chemical Dependency:
- Please print, fill out, and then bring these forms with you to your intake appointment. (Please fill out two copies of the Release of Information form).
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2. Please review the below packet for your information. These documents do not need to be printed or filled out.
| Substance Use Disorder Information Packet |
Current Patient Forms
Below you will find a link to our Release of Information (ROI) form that you can fill out and send to us via fax or drop off at our office. This form will be filled out by parties that would like to share their records with other individuals or groups, including schools, primary care providers or lawyers.
| Release of Information |
| Criminal Justice Release |
| Release of Information to the Department of Licensing |
Other Resources
| How to file a petition for Initial Involuntary Detention of a Family Member (Joel's Law) |
| 82-0227-parents-guide-to-fit.pdf |
Family Initiated Treatment (FIT) webpage
Updated resource materialsFor more information