Alternatives In Counseling

 
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Forms

If you wish, you can complete the forms below and bring them to your first appointment. This will save you time at the first session.

Click on a form below and use your browser to print it:

Confidential Client Information Form - Required. Please complete and sign the bottom of this form.

AIC Psychotherapist-Patient ServicesAgreement - Required. Please read and sign at the bottom of the Confidential Client Information Form indicating you have read and understood the Psychotherapist-Patient Services Agreement.

AIC Illinois Authorization Form

 

 

 

Contact me at 847-604-1932 or drsrsmith@counseling-alternatives.com