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If you would like to speak to someone who has experience with the PCM system in a specific state, with a specific facility setting or at a facility with a population of individuals served that is similar to yours, please fill out the following form and a PCM representative will contact you.
The following is a list of settings that the PCM system has been utilized.  If applicable, please choose which settings interest you most:
(Check all that apply)
Large Public Schools
Small Public Schools
Private Special Needs Schools
State-Run Residential Facilities
Group Homes
Private Residential Facilities
Private Homes
Day-Treatment Facilities
The following is a list of types of individuals that the PCM system has been used with.  If applicable, please choose which types of individuals interest you most:
(Check all that apply)
Adults/Children with Developmental Disabilities
Children in Special Education Classrooms and Settings
Adults with Head Injuries
Children Involved in the Juvenile Justice System
Children in Foster Care
Adults/Children with Mental Health Problems
A Wide Variety of Ages and Disabilities
So we may contact you, please complete the following:
First Name:
Last Name:
Organization Name:
State:
Phone Number:
Email Address:
How would you prefer we contact you?
E-mail
Telephone
Copyright © 1997 - 2002 by PCMA.
All rights reserved. Revised: 10/23/08