APPIC Informal Problem Consultation

Please refer to APPIC policies governing the Informal Problem Consultation (IPC) process. These can be found at the following link: http://www.appic.org/Problem-Consultation. Those in the VA, federal prisons or hospitals with restricted access to Google Docs may have to complete this form at home.

This consultation form should be used by APPIC Members, APPIC Doctoral Program Associates (DPAs) and psychology trainees that are enrolled in or completing one of these programs.

Please complete the following information. When you click on submit, the information is submitted to an APPIC Central Office database. Information will be provided to the APPIC Board or Executive Director (usually the chair of APPIC for match release issues). It is expected you will be contacted within 24 Hours of your submission but not longer than 3 working days. If contact information is missing APPIC will have no way to contact you. You may wish to print a copy for your records.

Programs and trainees are encouraged to use this form when they are interested in consultation from APPIC. APPIC generally does not mediate problems but does try to provide an "outside" perspective on the problem. This process is required BEFORE filing a formal complaint (ASARC).

    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question