PCP Coordination of Care Form (Printable PDF)

$5.00

A professional coordination of care form to support communication between therapy providers and primary care physicians.

Coordinating care with a client’s primary care provider (PCP) helps ensure treatment is ethical, informed, and aligned with the client’s overall health needs. A PCP Coordination of Care Form allows you to document consent and facilitate appropriate communication between mental health providers and medical professionals.

This form supports information sharing related to diagnosis, treatment considerations, medications, and relevant health factors, while respecting confidentiality and professional boundaries. It helps streamline collaboration, reduce risk, and ensure that all providers involved in a client’s care are informed when appropriate.

The file is provided as a non-fillable PDF, designed for printing and physical signatures. You can include it in your intake packet, use it when requesting records, or provide it when coordinating treatment with medical providers.

A professional coordination of care form to support communication between therapy providers and primary care physicians.

Coordinating care with a client’s primary care provider (PCP) helps ensure treatment is ethical, informed, and aligned with the client’s overall health needs. A PCP Coordination of Care Form allows you to document consent and facilitate appropriate communication between mental health providers and medical professionals.

This form supports information sharing related to diagnosis, treatment considerations, medications, and relevant health factors, while respecting confidentiality and professional boundaries. It helps streamline collaboration, reduce risk, and ensure that all providers involved in a client’s care are informed when appropriate.

The file is provided as a non-fillable PDF, designed for printing and physical signatures. You can include it in your intake packet, use it when requesting records, or provide it when coordinating treatment with medical providers.