Thank you for your interest in joining the Compatible Counseling Solutions’ Referral Network. Compatible Counseling Solutions provides individuals and families with referrals to licensed Counselors, Psychologists, Social Workers, and Marriage and Family Therapists in Chicago and the suburbs, who demonstrate a commitment to individualized, collaborative and goal directed services within our Referral Network. Membership in the network during the 2012 calendar year is free of charge. After 2012, you will be charged an annual fee to remain in the network.

Please provide us with some basic information about your practice:

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Name:*

Email:*

Phone*

Preliminary Questions:

1. Briefly describe your approach to serving clients, including models and techniques in which you have expertise.

2. What is your process for establishing treatment goals with clients?

3. How often do you evaluate services with clients?

4. What is your average length of service with clients?

5. Do you provide a flexible approach to scheduling frequency of services with clients?

6. Have you read, and do you agree with Compatible Counseling Solutions’ Principles of Service to Clients?

Would you prefer to be contacted by phone or email?

Thank you for your interest in Compatible Counseling Services’ Referral Network. We will be in touch with you within 72 hours to discuss your membership.

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