Fillable Forms for PC-CARE

For Fillable PC-CARE Forms in Spanish, click here.

These fillable PDFs are to be used when PC-CARE is conducted via telehealth. Please Note: In order to complete and save fillable forms, you will need to do so in the free Adobe Acrobat reader. Let us know if you’re looking for one that isn’t here by emailing aubjohnson@ucdavis.edu.

Before you get started, check out this instructional video from Dr Brandi Hawk on providing PC-CARE via telehealth.

PC-CARE Progress – Graphing Excel

Downloadable Excel file with graphs. Screenshare these graphs with clients/caregivers to show their progress.

PC-CARE Log Fillable PDF

Trainees: This log is mailed to your trainer after you complete a client to achieve PC-CARE certification.

PC-CARE Syllabus & Flyer

Daily CARE

• Daily CARE Weekly Form
• Daily CARE Weekly Form En español

WACB Forms and Measures

• WACB 0-2
• WACB N
• Spanish WACB 0-2
• Spanish WACB N
• ECTSS Trauma Symptom Measure
• CATS Trauma Symptom Measure
• Family Life Questionnaire
• TAI Therapy Attitude Inventory Measure
  • Spanish: TAI en Español
• Talking About Treatment form – for biological/birth parents
• Talking About Treatment – Resource Parents

Coding Sheets

If printing coding sheets, do not print the fillable forms. Use the printable version here.

• 12 Minutes Coding Sheet Pre & Post
• Coding Sheet Session 1
• Coding Sheet Session 2
• Coding Sheet Session 3
• Coding Sheet Session 4
• Coding Sheet Session 5
• Coding Sheet – Follow-up Session

Strategies Questionnaires

• Session 1: Using Strategies at Home
• Session 2: Using Strategies at Home
  • Session 2 – Last Week’s Strategies: What worked?
• Session 3: Using Strategies at Home
  • Session 3 – Last Week’s Strategies: What worked?
• Session 4: Using Strategies at Home
  • Session 4 – Last Week’s Strategies: What worked?
• Session 5: Using Strategies at Home
  • Session 5 – Last Week’s Strategies: What worked?
• Session 6: Strategies Learned – What worked?

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Fillable Forms en Español