Find A Therapist in Chicago

Chicago’s Source for Quality Mental Health and Wellness Services

  • About Us
  • Contact Us
Find A Therapist in Chicago
Skip to primary content
Skip to secondary content
  • Find A Therapist in Chicago
  • Assessment and Referral
    • Therapist Network
  • Individual Counseling
  • EMDR
  • The Daring Way™
  • Fees and Payments
  • Schedule an Appointment
  • Blog
  • FAQS

Forms

INTAKE FORMS

If you are a new client please complete the following forms and bring them to your first session:

Intake and Consent for Services

Privacy Practices and Client Rights

If you would like me to coordinate care with another  provider (such as your psychiatrist or primary care physician, for example) complete the following form:

Authorization for Release of Information

 

3047 N. Lincoln Ave., Ste 400 Chicago, IL 60657 (773) 372-4111

 

Loading Comments...
 

You must be logged in to post a comment.