Clients are required to have intake forms on file before counseling services commence. The forms on this page are specific to adult, individual clients. For couples, children, and teens, see the corresponding link on the menu.
Please PRINT these pages, fill them out, and bring them to your first appointment. Alternatively, you may FAX the forms in advance to (847) 205-0377.
Required Forms for Adults
- Intake Cover Page for Adults
- Insurance Declaration Form
- Contract for Services
- Personal History – print version
- Personal History – on-line version
- Authorization for Release of Information
If you cannot open these forms, contact your counselor directly to have a set mailed or faxed to you.