Lake Cook Behavioral Health
  • Services
    • Adults
    • Children/Adolescents >
      • Play Therapy
      • Social Anxiety
      • Impulsive behavior
    • Couples Therapy
    • Family Counseling >
      • Family Therapy
    • Seniors >
      • Psychotherapy for Seniors
    • Mental Health Services >
      • Addictions
      • Anger Management
      • Anxiety
      • Bipolar Disorder
      • Depression
      • Eating Disorders
      • PTSD
      • Women's issues
  • Our Staff
    • Arlington Heights
    • Northbrook
    • Evanston
  • Contact Us
    • Locations
    • Request Appointment
    • Staff Directory
  • Payments
  • Forms
  • Join Us
  • Services
    • Adults
    • Children/Adolescents >
      • Play Therapy
      • Social Anxiety
      • Impulsive behavior
    • Couples Therapy
    • Family Counseling >
      • Family Therapy
    • Seniors >
      • Psychotherapy for Seniors
    • Mental Health Services >
      • Addictions
      • Anger Management
      • Anxiety
      • Bipolar Disorder
      • Depression
      • Eating Disorders
      • PTSD
      • Women's issues
  • Our Staff
    • Arlington Heights
    • Northbrook
    • Evanston
  • Contact Us
    • Locations
    • Request Appointment
    • Staff Directory
  • Payments
  • Forms
  • Join Us
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These forms are for the use of new or existing clients and can be used to help the registration process, or give permission to discuss with other parties.

New Client Required Forms:
  • New Client Registration Form
  • ​Release of Information to Process Insurance/Benefits
  • Consent for Treatment Form
  • Instructions for Handling Confidential Information
  • client_questionnaire.pdf

COVID Forms (required):
  • covid_consent.pdf
  • covid_client_questionaire.pdf

If Applicable:
  • Child/Adolescent Health History

Other Forms:
  • Clinical Release of Information


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