773-242-8898
info@backtobalancecounseling.com
Home
About
Services
Anxiety Treatment
Teen Counseling
Counseling for Women
Cognitive Behavioral Therapy
Exposure Therapy
Clinical Supervision Services
Getting Started
Client Forms
Rates & Insurance
FAQs
Appointments
Blog
Contact
Home
About
Services
Anxiety Treatment
Teen Counseling
Counseling for Women
Cognitive Behavioral Therapy
Exposure Therapy
Clinical Supervision Services
Getting Started
Client Forms
Rates & Insurance
FAQs
Appointments
Blog
Contact
Client Forms
Consent for Treatment of a Minor
Credit Debit Authorization
HIPAA
Informed Consent
Insurance Authorization
Intake Form
11 North Grant Street, Suite 203
Hinsdale, IL 60521
info@backtobalancecounseling.com
773-242-8898
Contact Me for Help
Please enable JavaScript in your browser to complete this form.
Name
*
E-mail
*
Phone
Comment or Message
Email
Submit
Home
About
Services
▼
Anxiety Treatment
Teen Counseling
Counseling for Women
Cognitive Behavioral Therapy
Exposure Therapy
Clinical Supervision Services
Getting Started
▼
Client Forms
Rates & Insurance
FAQs
Appointments
Blog
Contact
