Online and In-Person Therapy — Glenview and Skokie, Illinois

Logo | Integrative Behavior Solutions Dr. Malka Miller

Forms

To be filled out before your first meeting.

All clients should fill out the first four forms: 1. Professional Service Agreement, 2. HIPAA Form, 3. Release of Information, 4. Teletherapy Informed Consent.

Clients 18 and over should also fill out: 5. Adult Information Form

Clients under 18 should also fill out: 6. Child Information Form