• Home
  • About
  • Services
    • Individual Counseling
    • Couples Counseling
    • Consultation
  • Getting Started
    • FAQs
    • Rates and Insurance
    • Client Forms
    • Appointment Request
  • Resources
    • Recent News
    • Mental Health Links
    • Physical Health Links
    • Recommended Reading
  • Contact
logo

(773) 209-2440 | alison@alisontoback.com

Alison Toback

My WordPress Blog

Client Forms

When we first establish contact, I will send you an invitation to my client portal, where you can complete all intake forms online as well as make and change appointments and check balances.

While all of our work together is strictly confidential, if you want me to collaborate with another provider, please complete and sign the following form.

Authorization for Release of Information

 

Contact Today

708 Church Street Suite #221
Evanston, IL 60201

(773) 209-2440
alison@alisontoback.com

Privacy Policy

A Therapist Website by Brighter Vision

Copyright © 2019 · Bubbles on Genesis Framework · WordPress · Log in