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(815) 214-9766

collectivebalancecounseling@gmail.com

Client Forms

If you are an existing client and want access to your billing documents, secure messaging or practice paperwork click the link below:

Client Portal for existing clients

CBC Notice of Privacy

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information

School Referral Form

Medical Referral for Therapy Services



500 Brown Blvd.
Bourbonnais, IL 60914

collectivebalancecounseling@gmail.com
(815) 214-9766

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