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Therapy for IndividualsCouples, & Families
Couple Therapy Session

New Client Forms


New Clients - Download the following 3 forms, fill them out and bring them to your first appointment or they will be located on the waiting room table.  Please arrive 15 minutes earlty to complete.  Also please bring your insurance card and driver's licsense so that we can make a copy.

If you would like to coordinate care with another provider (for example, your psychiatrist, primary care physician, child's school, etc.), complete this form to authorize release of psychotherapy information:

Fax Number:

630-383-2076


Note: To download Adobe Acrobat Reader for free, click here.