Printable Form

Thank you for visiting our website and welcome to the office of Don Barry Counseling Services.

What should I bring to my visit?

  1. Please fill out the Patient Information below and bring it with you.
  2. Please bring your insurance card and a photo ID.

If you have any questions, please call us at: 630-408-4018

TO PRINT THE FORM:

CLICK the link below to Download and Print the Client Registration Form and please bring to your appointment.  

Thank you!

Click here: Printable Registration Patient Form

 

 

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