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