The Psychology Center, Inc
(A Professional Corporation)

10343 S Western Avenue
(near 103rd Street)

Chicago, IL  60643

General Office Telephone (24 hours) 773/238-2828


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Please Contact Us
 

Please tell us when you are available for appointments and the kind of problem-solving you may be looking for so we may suggest who in our professional staff would be available and best suited to work with you right away.

We would like to hear from you!

Do you want to:

Your Contact Information if you are requesting a new appointment as a new client

Your Name
Mailing Address
Telephone(s)
OK to Leave Voice Mail?
Confidential Fax
E-mail
Important: When are you
available for appointments?

Information Request Form

Select the items that apply, and then let us know how to contact you.

Send literature about your private practice and a business card
Have a staff Doctor contact me right away by telephone or email
Mail forms to me so I can register as a new client (or you can print out these forms now by going to "New Client Intake Forms")

Name
Work Schedule, Preferred Appt Availability
Mailing Address
E-mail
Phone(s)
Health Plan You May Use

Your Comments or Question:

 

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Copyright 2012 The Psychology Center, Inc
Last modified: 06/15/19