Leanne N. Rodgers, Psy.D., PC

600 Davis Street, Suite 3E, Evanston, IL 60201 * (773) 294-6881

Water Lilly

Client Forms

If you are new, feel free to fill out these intake forms prior to our first session:

Client formsDownload

Otherwise they can be completed at the first appointment as well.

  • Preliminary info form
  • Consent to treatment form
  • HIPPA statement of client rights and confidentiality form

Questions? Send a message

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