PPCC DRUG & ALCOHOL ASSESSMENT

PPCC DRUG & ALCOHOL ASSESSMENT

ASI APPOINTMENT FOR P.O. OR COURT
Thank you for choosing Pam's Place Counseling Center.

POLICY FOR A MISSED APPOINTMENT & RESCHEDULING FEE

Please be advised that missing two appointments will result in the forfeiture of your assessment fee. There are no exceptions to this policy. Our therapists have very busy schedules, so kindly ensure you are available when scheduling your assessment.

EXPECT AN ADDITIONAL EMAIL OR CONTACT VIA PHONE FROM THE THERAPIST.

If we do not reach you an appointment email will be sent. Check your email daily.

It is your responsibility to reach out to us if you have not received an email or call.

Please be available at the appointment time. There will be an additional $65. fee to reschedule for a no call/no show. Please contact us for any changes in your schedule.

Thank you,
Mr. Edgar
Please take a picture of your ID. If you do not have identification we will need something showing your name, address, date of birth, and a picture of you.
Name

First NameLast Name
YOUR Email
example@example.com
YOUR Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
P.O. AGENT Name

First NameLast Name
P.O /AGENT Email
example@example.com
P.O. /AGENT Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
GIVE 3 DATES AND TIMES YOU ARE AVAILABLE

Appointments need to be scheduled at least 3 days after you plan to make your payment. You will then receive an email informing you of your appointment date and time. Example: If today is Monday pick dates starting on Wednesday. Do not put the same day unless you will be paying the $125 fee for same day appointments. Call the office for same day appointment.
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Date

MonthDayYear
Date
Hour MinutesAM/PM Option

MUST PAY FEE 160.00

USDASI FOR COURT/P.O.

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Should be Empty:

PPCC DRUG & ALCOHOL ASSESSMENT

GIVE 3 DATES AND TIMES YOU ARE AVAILABLE

MUST PAY FEE 160.00*

Payment Methods

MUST PAY FEE 160.00