for personal growth and recovery
815-432-5241


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Intake Paperwork

If this is your first appointment at IMHC or if it has been awhile since your last visit, then you will need to fill out a new client packet. If unsure, please call the front desk and ask them if you need to fill out a new client packet again, and they can check when your last visit was and make sure you are not missing anything.

Please fill out any necessary paperwork before you come in for your appointment to save time. Please make sure you bring identification and also your insurance card and/or 4506-T form if applicable.

Consents linkConsents Doc

 

IROQUOIS MENTAL HEALTH CENTER CONSUMER RIGHTS.doc

consents.doc
Client Orientation Checklist.docx

 
 
 
Iroquois Mental Health Center | 323 W. Mulberry Street | Watseka, IL 60970 | 815-432-5241 | TDD. 815-432-4254 | Fax. 815-432-4537

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