Download our forms and return them below before your appointment.
Intake Form (docx)
DownloadRelease of Information (pdf)
DownloadClients Rights (pdf)
DownloadHealth Information Rights (pdf)
DownloadConsent to Service (pdf)
DownloadHH INC and HQ2 Discount Application (docx)
DownloadHH INC and HQ2 SLIDING FEE SCHEDULE (docx)
DownloadHH Inc and HQ2 Non-discrimination policy (docx)
DownloadHH INC and HQ2 Discount Program Policy (docx)
DownloadHeuristic Healing, Inc. & HQ2
1222 West 95th Street Chicago, IL 60643
773-238-5555/ 877- 435-7635 (p) 773-238-5533 (f)
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