Forms


This is our Notification of Privacy Practices.
Notification of Privacy Practices

This Health Care Information Consent form can be submitted to us on an as-needed basis.
Health Care Information Consent Form

If you are separated, currently going through divorce proceedings, or are involved with court regarding custody decisions, before any sessions take place both parents must either print and sign this THERAPIST AND PARENTS CHILD SAFE HARBOR AGREEMENT or agree to it via an email to info@childtherapychicago.com.
THERAPIST AND PARENTS CHILD SAFE HARBOR AGREEMENT

This is our COVID-19 Preparedness Plan, which describes our health and safety policies and procedures for in-person therapy sessions under the current pandemic conditions.
COVID-19 Preparedness Plan

This is our Online Therapy consent form. Please review this form if you will be participating in any online teletherapy sessions.
Online Teletherapy Consent Form