FORMS AND DOCUMENTS

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

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

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READY TO GET STARTED?

Complete your forms and begin your journey.

PLEASE FEEL FREE TO CONTACT ME!

Please do not submit any Protected Health Information (PHI).

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ATLANTIC COUNSELING AND EDUCATIONAL SERVICES

sunday:

8:00 AM - 4:00 PM

monday:

9:00 AM - 9:00 PM

tuesday:

9:00 AM - 9:00 PM

wednesday:

9:00 AM - 9:00 PM

thursday:

9:00 AM - 9:00 PM

friday:

9:00 AM - 9:00 PM

saturday:

8:00 AM - 4:00 PM

Address:

3010 Highland Parkway suite 200, Downers Grove, IL 60515, USA

Phone Number:

(609) 273-1641

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