Forms

*** Please Do Not fill out the Forms or any paperwork until you have called to make an appointment first! *** 

                                                                                          *** Call 217-431-8825 ***

If you're a new client, please complete the following forms to submit them for your first therapy session.

 You may also print them and bring them to your first therapy session. 

There are 4 forms on this page that will need to be filled out. Please call first to make an appointment before filling out the forms! 

Clinical Intake Form

Registration Form

Payment Policy

Informed Consent