Alma Counseling Center

Princy Shyam, MA, MSW, LCSW . . . listening and helping you find new perspectives
Phone: (630) 506-2050

PLEASE READ / COMPLETE THESE FORMS TO GET STARTED WITH US

To ensure that we provide the best possible service to each client, and to comply with health care regulations, please read and (where necessary) complete the forms below.

Clicking any button below will download the document to your computer or device.

Informed Consent (PDF)

Intake Form for Adult Clients (PDF)

Intake Form for Youth Clients (PDF)

HIPAA Notice: Privacy Practice (PDF)

HIPAA Client Rights: Client Copy (PDF)

Fee Schedule (PDF)

Authorization to Release Information (PDF)

Counseling Tailored to the Client: By Phone, Video or In Person

At Alma Counseling Center, we understand you need counseling that fits your schedule and other preferences. And of course, keeping clients safe in this era of COVID-19 is of the utmost importance.
So we offer counseling by phone, video or in person (with masks), Saturday sessions, and flexible schedules.

Alma Counseling Center

109 Fairfield Way, Suite 106 · Bloomingdale, IL 60108 · Phone: (630) 506-2050 · Fax: (630) 566-0354