APCTC FORMS

These documents recently have been updated.  Translations to other languages will be available soon.  

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CONSENT FORMS

• Consent Form - English
• Consent Form - Korean
• Consent Form - Spanish
• Consent Form - Traditional Chinese

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WELCOME PACKET

• ​APCTC Welcome Packet - Chinese
• APCTC Welcome Packet - English 
• ​APCTC Welcome Packet - Korean
• ​APCTC Welcome Packet - Spanish​

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PROTECTED HEALTH INFORMATION AUTHORIZATION

• PHI Authorization - Khmer
• ​PHI Authorization - Korean
• PHI Authorization - Simplified Chinese
• ​PHI Authorization - Spanish
• PHI Authorization- Traditional Chinese
• PHI Authorization - Vietnamese

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 NOTICE TO PSYCHOTHERAPY CLIENTS

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FOR THOSE SEEN BY CLINICAL TRAINEES

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• Notice to Psychotherapy Clients - English
• Notice to Psychotherapy Clients - Korean
• Notice to Psychotherapy Clients - Simplified Chinese
• Notice to Psychotherapy Clients - Spanish
• Notice to Psychotherapy Clients - Tagalog
• Notice to Psychotherapy Clients - Traditional Chinese
• Notice to Psychotherapy Clients - Vietnamese

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FOR THOSE SEEN BY REGISTERED THERAPISTS

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• Notice to Psychotherapy Clients - English
• Notice to Psychotherapy Clients - Korean
• Notice to Psychotherapy Clients - Simplified Chinese
• Notice to Psychotherapy Clients - Spanish
• Notice to Psychotherapy Clients - Tagalog
• Notice to Psychotherapy Clients - Traditional Chinese
• Notice to Psychotherapy Clients - Vietnamese

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FOR THOSE SEEN BY LICENSED THERAPISTS

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• Notice to Psychotherapy Clients - English
• Notice to Psychotherapy Clients - Korean
• Notice to Psychotherapy Clients - Simplified Chinese
• Notice to Psychotherapy Clients - Spanish
• Notice to Psychotherapy Clients - Tagalog
• Notice to Psychotherapy Clients - Traditional Chinese
• Notice toPsychotherapy Clients - Vietnamese

Updated 06/16/2026