Online Forms

We have done our best to assure an electronic system to gather sensitive information so your information is secure and confidential. We are now processing all charting and billing forms electronically. When you click on the button, please complete online all 3 forms. Once complete they will be submitted to Sarah Balacek, our Office Manager. Once she reviews the forms and validates your information, she will contact your assigned therapist. You will then receive a confirmation phone call for your initial appointment. Print out and manually complete the remaining intake forms below and bring them to your first appointment.

Online Forms

Remaining Intake Forms

• Notice of Privacy Practices, Client Rights and Cancellation
• Informed Consent for Outpatient Treatment
• Practice Policy Fee Statement for Catherine J. Hunter & Associates, LTD.
• Informed Consent for Telehealth Services

COVID-19 Forms

• Waiver
• Return to Office Session Pre Screening Form

Note: Payton Business Services, Inc. will be handling billing and receivables for Catherine Hunter & Associates. Any questions please contact Sarah at 847-807-3080 x101