PPInc.: "...where change is a positive, healing experience"

Thank you so much for your interest in becoming a client with Positive Perspectives Counseling Center. All are welcome here! Please take a few moments to complete the following Application to Become a New PPInc. Client.

Please understand that when you complete this application, you are NOT YET a PPInc. client. Your application must be reviewed and accepted in order to move to the next step of scheduling an appointment with a PPINc. clinician.

For your protection and security, the information you enter here will be encrypted and safely sent directly to our office once you complete all sections.

Navigating away from this form system or allowing it to “Time Out” before clicking "Submit" will cause the dismissal of any entered data. After successful submission you will be redirected to a Confirmation/Thank you page.

Thanks again for your interest in Positive Perspectives Counseling Center! Your Application will be reviewed during the next five (5) business days and you can expect a return call shortly after review.