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You must complete the online registration by clicking the button to the right. You will be asked to provide basic information for our billing/scheduling system and then you will be asked to electronically sign all forms required to get started. Feel free to ask your therapist any questions you may have about these forms. The forms and the general purpose of each is as follows:
Consent to Teletherapy - Verifies you understand all implications of doing therapy online.
HIPAA Form and Illinois Form - Provide details about the contract between you and the practice. This includes such things as confidentiality, fees, missed appointment policy, communications, etc.
Informed Consent to Treatment - Verifies that you understand the process and consent to the treatment.
Fee Agreement - Provides basic fee agreement (including missed appointment fees) and policies
HIPAA-compliant Release of Information - Please complete for any other provider/agency with whom you would like us to collaborate. This is likely to be a referring doctor, school, or other treating professional. If you do not want us to communicate with any other person, please type "Not Applicable" where it asks for the name.
Good Faith Estimate for Health Care - In this document, you verify that you have received a good-faith estimate of what services will cost.
If a provider referred you to us, we will likely ask for permission to communicate with that provider. Please have the name and contact information available.
If there have been previous evaluations, hospitalizations, etc, please determine what reports you may want us to review and (preferably) send them in advance of the first appointment. You may speak with your therapist about the best way to do that. (Parents: this may include report cards, school testing, etc.)
Here are some suggestions to maximize the video session:
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