Please fill out the forms below and bring them to your first session. You may also email or fax them to 815.642.0662 prior to the first meeting.

Illinois Client Forms

Non- Illinois Client Forms

* I refer to myself as a coach when working across state lines to avoid any potential licensing issues (that are currently undefined with Internet-based therapy)

** Needs to be filled out only if there is a bishop or other entity (other therapist) that I would need permission to communicate with.