online registration information

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.

Authorization for E-Check payment - If you would like to provide bank information for e-check payment, complete this form.

online resistration Link

learn what to bring/send for the 1st appointment

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.)

preparing for the video session

Here are some suggestions to maximize the video session:

Please make sure you have a quiet, private area to meet. Having other family members, roommates, co-workers nearby is not appropriate. This is true for children as much as it is for adults.
Please make sure your internet connection is stable and can adequately manage video conferencing. We have found that most people have a better connection if they turn off devices that are competing for a wi-fi signal. For example, if you are using a laptop connected to wi-fi, make sure the wi-fi on your phone (if nearby) is turned off.
It will work best if you have a way of putting your device on a flat surface (not holding). Even slight movements may compromise quality of connection.
Play around with lighting and placement to make sure you are visible to the therapist (we will do the same!)
Make sure you know how to contact your therapist if you are having issues connecting. (The Consent to Teletherapy asks you to provide your contact information for this purpose.) We do not want to waste valuable therapy time on connection problems.
Double check audio connections ahead of time!

DRS. LAPPORTE, WRIGHT & ASSOCIATES, PC

online registration information