Pittsburgh Pastoral Institute
Pittsburgh Pastoral Institute
  • Sign In

  • My Account
  • Signed in as:

  • filler@godaddy.com


  • My Account
  • Sign out

Signed in as:

filler@godaddy.com

    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
    • Terms of Use
    • Crisis Resources

    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