Notice of Privacy Practices

Click below to Download or View Privacy Notice

Notice of Privacy Practices

Release of Information Forms for Children or Adults

Release of Information Form for Children Only

Release of Information Form for Adults Only

Client paperwork that can be filled out online:

Digital Version – https://copingpartners.com/new-clients/

Office Information

(847) 497- 8378
drweisz@copingpartners.com
450 Skokie Blvd Suite # 503 Northbrook, IL 60062
Open 7 Days a week

FOR CLINICIANS only:

Here is the Credit Card on File Authorization Form if needed to print.

Coping Partners Credit Card On File Authorization Form

Here is the Hard Copy of the New Client Paperwork if needed to print.

Initial (Hard Copy)Paperwork Packet for New Clients