Carenet Consent Form
This Pregnancy Care Center (PCC) is a non-profit organization. We are staffed by volunteers, who have received training in crisis counseling, but they do not have degrees in counseling nor are they licensed by the state. The counseling provided is not intended as a substitute for professional counseling. We offer information, peer counseling and practical help.
All information is kept confidential.
All information shared is kept confidential within the PCC and will not be discussed or released outside the center without your expressed consent (except in a situation where there is a concern for your safety and/or state law, as it pertains to a client who is suicidal, homicidal, situations of abuse, or a victim of statutory rape).
I agree to the terms of contact. Please contact me at your earliest convenience.
Reason for Contact
Schedule an Ultrasound
PACE (Post Abortion Counseling Education)
Do Not Fill This Out