New Clients
Please complete the following forms before your first appointment. Click on any form to download.
Getting Started
Reach out via our contact form or phone to schedule your first appointment.
Download and complete the necessary intake forms before your first visit.
Meet with your psychologist for a comprehensive evaluation and assessment.
Work together to develop a personalized treatment plan for your needs.
Step 2
Click on any form below to download. Please complete before your first appointment.
This form outlines our policies and practices for teletherapy. Please read it thoroughly prior to your first teletherapy appointment.
This form outlines our policies and practices. Please read it thoroughly prior to your first appointment.
This form gathers basic contact information, including insurance. This form is for child and adolescent clients.
This form gathers basic contact information, including insurance. This form is for adult clients.
This is a consent form that allows for communication to occur via email, text or any other manner.
This form outlines Illinois' HIPAA Privacy Rights and Practices. This packet is for clients to read through and keep for reference. At the end of the packet is a form to sign acknowledging receipt of this information.
This form is for any payment that must be collected after the insurance is billed, or for any co-pays.
Testing Forms
For psychological testing clients only: The following forms are specific to testing services. Therapy clients do not need to complete these.
This form is for collecting payment information for psychological testing services only.
This form is for collecting payment information for psychological testing services only.
Note: If you have any questions about these forms, please don't hesitate to contact us. We're happy to help.