Centers for Family Change

Registration

In order to receive services at the Centers for Family Change you need to complete 4 steps:

1. Speak to an Intake Therapist

2. Register for our Patient Portal

3. Login & Sign the Required Forms

4. Read Our Policies

Detailed Instructions

1. Speak to an Intake Therapist

Our intake staff will help you select a therapist who is a good fit for you. This applies even when you know which of our therapists you want to work with as some of our staff may have limited availability or are not accepting new clients.

(630)586-0900 ext.1

2. Register on our Patient Portal

By clicking the button below, you will be redirected to the site housing our secure patient portal. Input the information in the required fields. At the end of registering, you will be redirected to create a username and a password.

Register Now

3. Login & Sign the Required Forms

Required for all clients

  1. Consent for Treatment*
  2. Permission to Bill Credit Card
  3. HIPAA Privacy Notice
  4. Financial Policy
  5. Physician Release
  6. Teletherapy Consent

Required to applicable clients

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

4. Read Our Policies

Please read our policies carefully. By signing the Consent for Treatment Form* in your Patient Portal you are agreeing to adhere to Centers for Family Change policies. Be sure to raise any questions about our policies with your therapist.

Policies & Forms

The Centers for Family Change does not consider you a client until you have had your initial session with one of our therapists.