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
- Counseling Intake Form
- Psychotherapist Client Contract
- Couples Counseling Intake Supplement
- Release of Information **
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.