Forms

If you are a new patient, intake forms will be sent to you by your therapist via our patient portal (TheraNest). You may complete the forms directly in the system, and they will be uploaded to your patient record.

In addition to these forms, we ask you bring your insurance card, valid photo ID, and credit card you would like for us to keep on file for future payments to your initial consultation. If you are engaging in telemedicine, then we will arrange for these to be sent securely via our electronic medical record system.


Other Documents

IMPORTANT INFORMATION DURING COVID-19 OUTBREAK

For all new patients starting Tele-Psychology services, please complete the following checklist and information before your first scheduled visit. This is for patients who are already scheduled with a therapist at Oak Park Behavioral Medicine only.