Forms
Should you desire for us to contact other providers you are working with, schools,  family members, or other interested persons, please complete the following Release of Information which will give us permission to contact these individuals.
We look forward to meeting you.  Please take a few minutes to carefully read and complete the ​​​New Client Paperwork and bring it with you at your first visit.  Feel free to contact us should you have any questions.
Should you desire to use your insurance benefits, please call your insurance company and complete the following form.  We are happy to submit claims on your behalf.
New Client Paperwork
Insurnace pre-determination of benefits
Release of Information
VISIT US

Should you have any questions or desire to set up an appointment with one of our providers, please contact us.  We would love to hear from you.
900 Pyott Road, Suite 102
Crystal Lake, IL 60014
E-mail: [email protected]
815.444.9076
815.444.9079 (fax)
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