North Shore Wellness Services, Ltd. North Shore Wellness Services
425 Huehl Road, Suite 19B, Northbrook IL, 60062
(847) 205-0371
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Intake Forms

Please complete these intake forms prior to your first appointment. Adults, complete all forms except those not relevant to treatment (the Children's history form, and the Couples Questionnaire for individual services). Let your therapist know if you cannot bring completed forms with you to your first appointment. You will need to make arrangements to arrive 30 minutes prior to your appointment to complete the forms. PAPERWORK MUST BE COMPLETED PRIOR TO YOUR FIRST COUNSELING SESSION.
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North Shore Wellness Services, Ltd.   425 Huehl Road, Suite 19B, Northbrook IL 60062
phone: (847) 205-0371  fax: (847) 205-0377

© copyright North Shore Wellness Services, Ltd. an Illinois company, 2003-2013.