Intake Forms

My holistic approach means
giving you access to the tools you need,
and much more.

I prefer to spend my time with you, talking or playing and working on the issue at hand, than filling out
paperwork. To short cut the inevitable amount of writing you have to do when we meet, I have included
the standard intake and release forms for you. If you have any questions about them, give me call at 847-337-2377.

Online Intake Forms

Please complete the relevant form (Adult of Child) and Credit Card Authorization form. These forms can be submitted electronically. If you need paper copies of the forms, please contact me.

Address: 2530 Crawford Ave, Suite 305
Evanston, Illinois 60201           

Call Us: 847-337-2377

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