New Patient Forms

Please download, print and fill out the New Patient Registration packet before your first visit. Filling out our Patient Forms ahead of your visit will save you time!

New Patient Registration Packet

Symptoms  Check Questionnaires (GAD/PHQ)

Consent for Telehealth During COVID-19

Credit Card On File Authorization Form

Records Release Form

Informed Consent for In-Person Sessions During COVID-19

Get In Touch

If this is an Emergency please call 911 immediately.


(630) 260-0606

Phone Tree Prompt Options

  • Press 1: if you are new to our office.
  • Press 2: to schedule an appointment or to leave a message for your provider.
  • Press 3: for prescriptions and medications.
  • Press 4: for the Business Office or additional information:
    • Press 1: for business office hours, location, and fax number.
    • Press 2: for billing, medical insurance, claims, or payments.
    • Press 3: for medical records.
    • Press 4: to reach the Office Manager.


(630) 260-1049

Business Office Hours

(M – F) 8:30 am – 5:00 pm

Clinician Hours

(M – F) day and evening availability