(312) 346-5156

CLIENT FORMS

Before your Initial Visit at Tobin Counseling Group, please complete the following forms and bring with you to your Initial Visit.

Client Consent Form

Client Information Form

Credit Card/Debit Card Authorization Form

HIPPA Notice Form

TeleHealth Services Informed Consent

  • schedule a free 20-minute consultation
  • This field is for validation purposes and should be left unchanged.


(BCBS) PROVIDER


(PPO)

OUR BLOG

HEALTHY LIVING STARTS NOW

No matter your obstacles, you don’t have to face them alone. We offer comprehensive support so you can regain control and rebuild your life. To learn more about our services or to schedule a free 20-minute consultation, please call (312) 346-5156
We are in-network with Blue Cross Blue Shield PPO (BCBS PPO) and Aetna PPO
Chicago, IL

(312)346-5156

[email protected]

Get In Touch

We offer comprehensive support so you can regain control and rebuild your life.

Join Our List

Subscribe to our newsletter today!