Heuristic Healing, Inc. and HQ2

(773) 238-5555

  • Home
  • About Us
  • Services
  • Staff
  • Fees
  • Forms
  • Area Career Opportunites
  • More
    • Home
    • About Us
    • Services
    • Staff
    • Fees
    • Forms
    • Area Career Opportunites
Heuristic Healing, Inc. and HQ2

(773) 238-5555

  • Home
  • About Us
  • Services
  • Staff
  • Fees
  • Forms
  • Area Career Opportunites

Forms

Download our forms and return them below before your appointment. 

Intake Form (docx)

Download

Release of Information (pdf)

Download

Clients Rights (pdf)

Download

Health Information Rights (pdf)

Download

Consent to Service (pdf)

Download

HH INC and HQ2 Discount Application (docx)

Download

HH INC and HQ2 SLIDING FEE SCHEDULE (docx)

Download

HH Inc and HQ2 Non-discrimination policy (docx)

Download

HH INC and HQ2 Discount Program Policy (docx)

Download
  • Home
  • About Us
  • Services
  • Staff
  • Fees
  • Forms

Heuristic Healing, Inc. & HQ2

1222 West 95th Street Chicago, IL 60643

773-238-5555/ 877- 435-7635 (p) 773-238-5533 (f)

Copyright © Heuristic Healing, Inc. and HQ2 - All Rights Reserved.

Powered by

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

Accept