Client Forms

These forms are available for you to print and fill out before your first session.

For a Telehealth appointment, we ask you to download, print, and fill out the forms below. Specifically, Intake Form, Client-Psychotherapist Agreement, Acknowledgement of HiPAA, Release of Information, Telehealth Consent, and Payment Guarantee. You can email, fax, or mail the forms to your therapist.

Contact Us

1770 Park St #109
Naperville, IL 60563


Fax: 630-305-5708