Fillable Forms for PC-CARE

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.
Daily CARE
WACB Forms and Measures
- WACB 0-2
- WACB N
- Spanish WACB 0-2
- Spanish WACB N
- ECTSS Trauma Symptom Measure
- CATS Trauma Symptom Measure
- TAI Therapy Attitude Inventory Measure
- Talking About Treatment form – for biological/birth parents
- Talking About Treatment – Resource Parents
Coding Sheets
- 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 3: Using Strategies at Home
- Session 4: Using Strategies at Home
- Session 5: Using Strategies at Home
- Session 6: Strategies Learned – What worked?
Strategies Questionnaires en Español
- Español Session 1 – Strategies Learned – Will They Work For Us?
- Español Session 2 – Strategies Learned – Will They Work For Us?
- Español Session 3 – Strategies Learned – Will They Work For Us?
- Español Session 4 – Strategies Learned – Will They Work For Us?
- Español Session 5 – Strategies Learned – Will They Work For Us?
- Español Session 6 – Which Strategies Worked Best / Liked the Most?