Forms PDF Print

Forms

Intake Forms (print and complete/sign documents-- must bring to first session)

Intake Forms

Assessment Forms (only download and complete as instructed by therapist)

Children and Adolescent History and Assessment (PDF)

General Family History and Assessment (PDF)

Adult History and Assessment   (PDF)

 

Registration Forms

Most programs can be reigstered on line. You also have the option of printing out the Registration Form and mailing it in with a check. Call if you have any questions or wish to register by phone at 847-244-1101 ext. 401. 

Registration Form

Summer Love and Logic

Summer Friendship Groups

Scholarship Form

Read the information for the specific group to determine if scholarships are available.

 Youth Services and Teen Center Scholarship Form