Client Forms

Resources for...

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Client Forms

New clients may want to fill out paperwork ahead of time to bring to your first appointment. For your convenience, just click on the link below and print.

There are also forms therapists may request for different purposes. If your therapist has requested a form, we have also made these forms available on our website for your convenience.

New Client Forms

STEPHEN FUND Financial Assistance Application

CONNECT Group - Symptom Checklist

Authorization to Release Information - Chicago Clients
Authorization to Release Information - New Lenox Clients
Authorization to Release Information - Oak Brook Clients
Authorization to Release Information - Orland Park Clients
Authorization to Release Information - Schererville Clients
Authorization to Release Information - South Holland Clients

Speaker Bureau

The Center offers qualified and talented speakers on a variety of topics...

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15127 S. 73rd Avenue, Suite G, Orland Park, IL 60462

Ph. 708.845.5500 | Toll Free 800.361.6880 | Fx. 708.845.5505 | info@chicagochristiancounseling.org