(847) 721-4244 | Kathy@Anchored-Counseling.Com

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Client Forms

If you are new to therapy or counseling, please be sure to fill out the following forms, and bring them to your first session. This will help ease you into therapy and allow as much time as possible to focus on you.

Please print and complete the forms below and bring to your first appointment.

Client Intake

Client Information

Authorization for Release of Information

Limits of Confidentiality

 

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Kathy St. John



(847) 721-4244
Kathy@Anchored-Counseling.Com

616 N North Court STE 100
Palatine, IL 60067

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Contact Information

616 N North Court STE 100
Palatine, IL 60067

(847) 721-4244
Kathy@Anchored-Counseling.Com

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