BHP Forms


Intake Forms
 

In an attempt to make your initial session go as efficiently as possible we now have our required intake forms available online in a PDF format. Please fill out all the forms that apply to your situation as completely as you are capable of doing before your first session. Once your form is completed either print it out and sign it; or, email it back to BHP and sign it when you show up for your first scheduled appointment.

Click here for the all of the Intake Forms

or complete them separately...

This form must be completed by every patient of BHP This form must be completed by every patient of BHP

This form must be completed by every
patient of BHP

This form must be completed only by the parent or guardian of patient's under the age of 18


After you have completed and saved the appropriate file(s) attach it (them) in an email and return your forms to us at: B.H.P@comcast.net

Now call BHP (847-516-2538 or 630-208-9890)
to receive an appointment time and date.

All information you provide Behavioral Health Providers, P.C.
is private and secure;
this information will only be used for clinical and billing purposes.


You will need Adobe Acrobat Reader to view the Intake Forms. If you do not have this
program click here

Get Acrobat Reader
to download a free version of the Reader.