
Your therapist will send you a link to complete the Intake Forms online. However, if you would prefer to view or complete a fillable, PDF version of these forms, download the links below.
Required Forms:
- Client Intake Form
- Client Service Agreement
- Privacy Practices
- Consent to Treatment
- Insurance Considerations (for clients using insurance)
Optional Forms: (your therapist will indicate if these forms are being requested)
- Client History
- Client's Guide to Verifying Insurance (for clients using insurance)
Got Questions?
Send a Message!
Please limit information provided to contact information only as this form is not deemed secure. You acknowledge and accept the risks of this communication. When you set up a session with one of our counselors, we will connect you to our secure and HIPAA compliant portal for entering confidential and Personal Health Information.

Evanston & Chicago, IL