Children’s Forms

Before your child’s first appointment, the Intake Paperwork must be on file. Complete these forms and bring them with you on your first visit, or fax them to us in advance (847) 205-0377. If you have any questions, let your counselor know.

  1. Intake Cover Page for Children
  2. Insurance Declaration Form
  3. Contract for Services
  4. Child’s History Form
  5. Privacy Policy
  6. Authorization for Release of Information

Under some circumstances, family sessions are warranted. Family sessions can be a bit more complicated for billing. We have created this document to help you understand billing for family sessions. Please let your counselor know if you have any questions.

Helpful Information for Family Billing