Forms & First Visit

Preparing for Your First Visit


We want your initial visit to go as smoothly and stress-free as possible.  When you contact us to schedule an appointment, our Scheduler will ask you for basic demographic information, including the patient's name, parent's name (if patient is a minor), primary address, phone number, and email address.  You will then receive an email with a link connecting you to our secure Client Portal, where you can complete the intake forms electronically through our paperless system.  Our intake forms include Practice Guidelines and Consent for Treatment, as well as a brief questionnaire summarizing the reason you are seeking services along with a symptoms checklist for your therapist to review prior to your first appointment.  Please complete all forms to the best of your ability. 


You will also be able to upload your insurance card and credit card (for automated billing) directly into the Client Portal.  Our automated system will prompt you through the forms to get you started. 

In addition, the following items will be helpful to have, if available, at your initial appointment:


  • A copy of any previous hospitalization records

  • A copy of any previous neuropsychological or psychological evaluations

  • A copy of early intervention assessments (speech, occupational therapy, etc.)

  • A copy of Individual Education Plans (IEPs), 504 documents, or relevant educational records


This information will be important to fully understand your past and current functioning, and will help to guide your ongoing assessment and treatment.  You may upload copies of these documents directly into the secure Client Portal.  More details on the features of the Client Portal are referenced in the Client Guide on How to Use the Client Portal.  Please contact our office with any questions or concerns.


New and existing clients can access the Client Portal using the button below.

Forms and Instructions


Informational guides are available through the following links to provide you with an overview of our Client Portal and our Telehealth platform:



"I have known Dr. Konick for many years as a professional colleague. She is a very compassionate and dedicated psychologist.  She provides great evidence based care, and I am very impressed with her psychological evaluations. They are very thorough and offer impressive treatment recommendations. I feel very confident in her ability to treat clients, especially those suffering from autism spectrum disorders and more difficult to treat clients." - Dr. Maha Zayed

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3380 Lacrosse Lane

Suites 106-107

Naperville, IL 60564

64 Orland Square Drive

Suite 112

Orland Park, IL 60462


Mental Health & Counseling Services


Member of the American Psychological Association

Tel:  630.206.4060

Fax: 855.871.8351

© 2020 Konick & Associates