Park Ridge Psychological Services
Forms
Park Ridge Psychological Services provides the following forms for your convenience. Please download, print and fill out the appropriate form out prior to your appointment so that pertinent information (such as insurance coverage, personal information, et al) is already taken care of before your first session.
The following forms are available in both Adobe Portable Document Format (PDF) and Microsoft Word document format:
| Please download your preferred file type ... | WORD | |
|---|---|---|
| Initial Information Intake** |  22k |
 45k |
| Informed Consent to Treatment/Evaluation | 27k |
73k |
| Notice of Privacy Practices | 27k |
81k |
| Acknowledgement of Receipt of Privacy Notice | 21k |
60k |
| History & Questionnaire | 33k |
24k |
| General Information: Park Ridge Psychological Services | 27k |
44k |
**If at all possible, please complete and submit this information prior to your first visit.
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Contact Information:
(847) 692-6692
(888) 440-2577-Fax
36 Main Street
Park Ridge, IL 60068
Getting Here:
Park Ridge Psychological Services (see Google map) is located near the heart of uptown Park Ridge, approximately 2 miles east of the 294 Tollway, 2 miles north of the Kennedy Expressway, and a block west of Northwest Hwy. It is just a few steps from the Park Ridge Metra train station.