Registration

Please call and book an appointment with one of our therapists before registering at our secure portal. If you have already booked an appointment, please complete the steps below.

In order for you to register to receive Teletherapy and become a client* of Centers for Family Change you need to:

1. Register on our Secure Platform

Please complete all the required information

2. Create a username and password

Create a username and password (username must be 8 characters in length). When you complete registering you will be automatically transferred to the client portal.

3. Complete the Required Forms

Please complete the first 5 forms in the portal.

  1. Consent for Treatment
  2. HIPAA Privacy Notice
  3. Financial Policy
  4. Physician Release
  5. Teletherapy Consent

4. Optional Forms

Please complete these forms if appropriate:

  1. If the client is a child/teen age 11 to 17 please sign the Adolescent Privacy Form.
  2. If you are going to receive couples therapy please sign the Multiple Attendee Form

Do not complete the In Person Informed Consent as we are not offering in person therapy at this time.

Do not complete the other Optional forms unless requested to do so.

*Centers for Family Change does not consider you a client of Centers for Family Change until you have started therapy (had your initial session) with one of our therapists in one of our office locations.

If you are having difficulty using our online registration system, please call us at 630 586-0900 ext. 1, and one of our staff will assist you.

More Info about our Policy & our Forms

Our Service Agreement and HIPAA Privacy Notice

You can read the full versions of our Service Agreement and HIPAA Privacy Notice, but please do not print these documents unless you want a copy for your records. The Service Agreement explains all of our policies and we strongly encourage you to read this document.

Our Teletherapy and Communication Policies

You can read the full version of our Teletherapy policy and our Communication policy but please do not print this document unless you want a copy for your records. Please review these to better understand our teletherapy services and our efforts to improve communication with you.

Our Policy on the Treatment of Children and Adolescents

You can read the full version of our Policy on the Treatment of Children and Adolescents but please do not print this document unless you want a copy for your records. Please review this document to be sure you understand our policies regarding the treatment of children and adolescents.

The Brief Outcome Questionnaires

The Centers for Family Change has prided itself on using feedback informed therapy to provide our clients with the opportunity to provide us with input about the effectiveness of our services, and to help us improve the quality of our efforts to assist you. However, in these challenging times we have temporarily suspended the use of the questionnaires, pending our developing a way to administer these as part of teletherapy. We appreciate your patience regarding this challenge.

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