(847) 497- 8378 drweisz@copingpartners.com

Client Forms and Paperwork

New Client Paperwork  

  Click here to fill out New Client Intake Form 

Covid-19 In- Person Consent Form 

  Click here to fill out the In Person Informed Consent (during Covid-19)

Teletherapy Consent Form 

  Click here to fill out the Teletherapy Consent Form

Good Faith Estimate Form 

  Click to here to fill out the form Good Faith Estimate Form

Office Information

Address: 450 Skokie Blvd Suite # 503 Northbrook, IL 60062
Available: Open 7 Days a week

You can Call  or E-mail Your Individual Clinician here Contact Your Clinician

or Contact our General Office Information