Oakbrook Psychotherapists

Problems of Childhood & Adolescence
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Forms and Registration

In order for you to register to become a client* at Centers for Family Change you need to:

Register at our secure portal. Go to the portal and complete all the required information.


Download, print, and complete our Forms Packet.

  • Bring these signed and completed forms to the first session.
  • Be sure to bring your insurance card and ID (driverís license) as well.

The Brief Outcome Questionnaires
The last three forms in the form packet are brief outcome questionnaire forms. Please select the correct form, e.g., the adult, adolescent or child form, print out and complete. Please note parents can complete an adolescent or child outcome form for their child, as well. These forms are explained in detail in the sections on Feedback Informed Therapy.

You can read the full version of our Service Agreement and HIPAA privacy notice, but please do not print these documents unless you want a copy for your records.

If you have trouble printing the forms just let your therapist know and we will provide paper copies for you to complete prior to your first appointment.

*Centers for Family Change does not consider you a client of Centers for Family Change until you have started therapy (had your initial session) with one of our therapists in one of our office locations.


Copyright©2017. Centers for Family Change. All Rights Reserved. Sitemap |
2625 Butterfield Road, Suite 101N, Oakbrook IL 60523
Phone: 630-586-0900 | Fax: 630-586-9990


Oakbook Psychotherapy