MAKE A PAYMENT

Pittsburgh Pastoral Institute
Pittsburgh Pastoral Institute
  • HOME
  • Donate
  • Who We Are
    • History
    • Mission
    • Leadership Team
    • Board of Directors
    • Clinical Team
    • CPE Team
    • Intake Team
    • Spiritual Direction Team
  • What We Do
    • CPE
    • Counseling
    • Spiritual Direction
  • Connect With Us
    • Contact Us
    • Locations
    • Employment
  • More
    • HOME
    • Donate
    • Who We Are
      • History
      • Mission
      • Leadership Team
      • Board of Directors
      • Clinical Team
      • CPE Team
      • Intake Team
      • Spiritual Direction Team
    • What We Do
      • CPE
      • Counseling
      • Spiritual Direction
    • Connect With Us
      • Contact Us
      • Locations
      • Employment
  • Sign In
  • My Account

  • Signed in as:

  • filler@godaddy.com

  • My Account

  • Sign out

Signed in as:

filler@godaddy.com

  • HOME
  • Donate
  • Who We Are
    • History
    • Mission
    • Leadership Team
    • Board of Directors
    • Clinical Team
    • CPE Team
    • Intake Team
    • Spiritual Direction Team
  • What We Do
    • CPE
    • Counseling
    • Spiritual Direction
  • Connect With Us
    • Contact Us
    • Locations
    • Employment

Account

  • My Account

  • Sign out

  • Sign In
  • My Account

Intake Paperwork

Please download, read and keep for your records the documents below:

Personal History 07032018 (pdf)Download
Brief-PHQ (pdf)Download
Consent to Treatment (pdf)Download
Recommendation for a Physical Examination (pdf)Download
HIPAA Privacy Practices (pdf)Download
Rights and Responsibilities 08292019 (pdf)Download

 © 2019 - 2025 Copyright Pittsburgh Pastoral Institute a 501 (c) 3 Non-Profit. All Rights Reserved. United Way #1231.  

no soliciting please 

Powered by

  • HOME
  • Donate
  • Contact Us
  • Locations
  • Terms of Use
  • Crisis Resources
  • MAKE A PAYMENT

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

Accept