Mary Senn, LCSW - Licensed Clinical Social Worker | Therapist
Counseling Services Info for New Clients Links Blog

Information for New Clients

Before your first visit, please complete the Intake Form and the Informed Consent:

Intake Form (PDF)

Informed Consent (PDF)

Please print the forms, complete them in pen, and mail them to:

Mary Senn, LCSW, ACSW
1740 Ridge Avenue, Suite 106
Evanston, IL 60201-3690

 
The forms to the left are in PDF format. Click on the links to download the forms. You will need Adobe Reader to view the forms. Download it here for free:

Get Adobe Reader
 

 

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