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Lake Cook Behavioral Health
  • ConditionsExpand
    • Anxiety Therapy
    • Depression Therapy
    • Stress and Burnout
    • Bipolar Disorder
    • OCD
    • Trauma
    • PTSD
    • ADHD / ADD
    • Children’s Behavioral Issues
  • TreatmentsExpand
    • Medication Management
    • Cognitive Behavioral Therapy
    • Emotion Focused Therapy
    • Psychodynamic Therapy
    • Couples Counseling
    • Family Therapy
    • Psychological Testing
    • EMDR
    • Telehealth Therapy
  • LocationsExpand
    • Arlington Heights
    • Northbrook
    • Evanston
    • Naperville
    • Inverness
    • Telehealth Therapy
  • For ClientsExpand
    • Client Portal
    • Payments
    • Forms
    • Blog
  • CompanyExpand
    • About
    • Careers
    • Contact
Lake Cook Behavioral Health

Forms

​These forms are for the use of new or existing clients and can be used to help the registration process, or give permission to discuss with other parties

New Client Required Forms:

  • New Client Registration Form
  • ​Insurance Authorization
  • Consent for Treatment Form
  • Handling Confidential Information
  • Client Questionnaire
  • Payment Agreement

If Applicable:

  • Child/Adolescent Health History

Other Forms:

  • Clinical Release of Information
Close-up of hands holding a stack of colored and white papers in an office setting.
Lake Cook Behavioral Health

Therapy and Psychiatric services across Chicagoland for children, teens, adults, and couples

Services
  • Individual Therapy
  • Couples Counseling
  • Child and Adolescent Therapy
  • Anxiety / Depression Treatment
  • Trauma / PTSD
  • Medication Management
Locations
  • Arlington Heights
  • Northbrook
  • Inverness
  • Evanston
  • Naperville
Links
  • About Us
  • Contact
  • Insurance and Fees
  • Blog
  • Careers

© 2026 Lake Cook Behavioral Health

  • Conditions
    • Anxiety Therapy
    • Depression Therapy
    • Stress and Burnout
    • Bipolar Disorder
    • OCD
    • Trauma
    • PTSD
    • ADHD / ADD
    • Children’s Behavioral Issues
  • Treatments
    • Medication Management
    • Cognitive Behavioral Therapy
    • Emotion Focused Therapy
    • Psychodynamic Therapy
    • Couples Counseling
    • Family Therapy
    • Psychological Testing
    • EMDR
    • Telehealth Therapy
  • Locations
    • Arlington Heights
    • Northbrook
    • Evanston
    • Naperville
    • Inverness
    • Telehealth Therapy
  • For Clients
    • Client Portal
    • Payments
    • Forms
    • Blog
  • Company
    • About
    • Careers
    • Contact