Intake Process

  1. Free Intake Phone Consult – 224-208-5228
  2. Schedule tentative appointment with intake coordinator
  3. Immediately after phone call, register on secure Patient Portal (within 24 hours) to confirm appointment. Complete the following:
    1. Client profile information
    2. Insurance information
    3. Intake Questionnaire
    4. Cancellation Policy
  4. Print and bring to first appointment the Following Forms
    1. Client Rights and HIPAA Form
    2. Credit Card Authorization Form
    3. Couples Questionnaire (if for relationship counseling)