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To find out about the university-based clinic where the students work and faculty supervise

To meet the faculty and get to know their work and their play

To learn about the philosophy of the program as well as the courses offered

To learn more about the admission requirements and process

To meet current students

To view and download forms for clients and students
 
 

Purdue Individual, Couple and Family Therapy Clinic

(PICFTC)

CLIENT FORMS

Fee Scale For information on the sliding fee scale.
   
Information For the client information questionnaire (to bring to the first session).
   
Consent For a copy of the informed consent for treatment.

*All forms are in PDF format.
   
 
   

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Fowler Memorial House 1200 W. State Street
West Lafayette, IN 47907-2055
Phone: (765) 494-2939
Fax : (765) 494-0503
Program director: Doug Sprenkle
e-mail : sprenkled@aol.com

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Designed by Gunnur Karakurt & Beth Bourdeau