Forms

New clients must complete a New Client Intake Form, Credit Card Authorization Form and a Client Insurance Release Form before their first session. If a client is receiving telehealth counseling (online counseling) and this is the first time receiving this service with our practice, they must also complete a Telehealth Consent Form. These forms can be printed out and either emailed to alexandrapetrohilos@gmail.com or brought to the first session if the first session is in-person.  If you have any questions please call the office at 630-286-2785 or send an email to alexandrapetrohilos@gmail.com.