If you are interested in having us contact your insurance provider to see if our services would be covered, and to what extent, fill out our Intake Form today.

If you would like us to coordinate care with another provider (for example, your primary care physician, neuropsychologist, SLP, OT, PT, etc), complete the disclosing information form to authorize release of information.

If you would like to make a payment using a credit card, please download the form below and fax to Lindsay at 708-995-5684. Please note, we destroy, and do not keep any payment information on file. If you would like to make recurring credit card payments you will need to complete a new authorization for each transaction. Thank you!