708-424-0001 | info@cps-therapy.com

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Welcome to The Center for Psychological Services

After your insurance has been verified and your session scheduled, please refer to the appropriate form/packet below before meeting with a therapist.

Please read the – HIPAA Notice of Privacy Practices before choosing an option below.

You have three options:

  1. Download and print out the appropriate PDF documents, fill out completely and bring with you to your first appointment.
  2. Download and fill out the forms electronically with Microsoft Word and email them to the therapist you are scheduled to see, via an email address they have shared with you.
  3. Arrive 30 minutes earlier to your scheduled session to read and fill out the registration packet before meeting with your therapist.

Option 1  documents  (please print out appropriate document/s and bring to scheduled session)

  • Testing Packet (new client)
  • Testing Agreement (existing client)
  • Authorization Release/Receive Form
  • Telehealth Informed Consent
  • ADULT Intake Packet
  • CHILD/ADOLESCENT Intake Packet
  • COUPLES Intake (partner 1)
  • COUPLES Intake (partner 2)

Option 2 documents  (please download the appropriate word doc/s, fill out and email to therapist)  Be sure to enable editing in order to fill out the document.

  • Testing Packet (new client)
  • Testing Agreement (existing client)
  • Authorization Release/Receive Form
  • Telehealth Informed Consent
  • ADULT Intake Packet
  • CHILD/ADOLESCENT Intake Packet
  • COUPLES Intake (partner 1)
  • COUPLES Intake (partner 2)

708-424-0001
info@cps-therapy.com

10735 S. Cicero Ave Suite 208
Oak Lawn, IL 60453

Send A Message

By submitting this form via this web portal, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks. By clicking "Yes, I want to submit this form" you agree to hold Brighter Vision harmless for unauthorized use, disclosure, or access of your protected health information sent via this electronic means.

Office Hours

The Center offers daytime, evening and weekend appointments for your convenience.

Contact our Front Desk/Billing, Mon-Fri 9 am-6pm & Sat 9am-2 pm

Find Our Office

Contact

10735 S. Cicero Ave Suite 208
Oak Lawn, IL 60453

708-424-0001
info@cps-therapy.com

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