Christy Lindquist, LCPC Get Back To Being You, P.C.

  • Home
  • Services Provided
  • Common Questions
  • Rates & Insurance
  • Appointment Request
  • Helpful Forms
  • Links
  • Privacy & Policy
  • About Me
  • Contact Me
  • Make A Payment
Christy Lindquist, LCPC

4753 N. Broadway Street
Suite 608
Chicago, IL 60640

3020 N. Lincoln Avenue
Chicago, IL 60657

(773) 386-4414

info@getbacktobeingyou.com
Helpful Forms

If you're a first-time client, please review and complete the following forms, and bring them to your first session:

Policy Agreement  
Privacy Agreement  
Your Information  


Please fill out the Credit/Debit card form:

If you would like to pay your fee or copay by credit card
If you have an unpaid deductible for this year
 


Credit/Debit Card Form
 


Note: To download Adobe Acrobat Reader for free, click here.


©2010 by TherapySites.com. All rights reserved.
499d23be884a5bfaddb51a5475f03772