TriCity Family Services
(630) 232-1070

1120 Randall Court
Geneva, IL 60134

Strengthening People – Building Communities Strengthening People – Building Communities

Forms

To make our intake process as efficient as possible, the following forms are available online for you to print out and complete prior to your first appointment. If you have any questions, please call us at 630.232.1070. We look forward to serving you.

New Counseling Client Packet

New Family-Based Treatment for Eating Disorders Client Packet

New Employee Assistance Program Client Packet


Client Information

Notice of Privacy Practices

Statement of Client Rights

Fee Schedule

Client Fee Agreement

Consent to Treatment

Notification to Patient of Desirability of Conferring with Primary Care Physician

Restrictive Behavior Support Interventions

Informed Consent

About Us
Support Us
Contact Us
Main Office:

1120 Randall Court, Geneva, IL 60134

Hours:

Monday – Thursday 9:00 AM – 9:00 PM
Fridays 9:00 AM – 5:00 PM
Saturdays by appointment only

Satellite Office:

2570 Foxfield Road, Suite 101, St. Charles, IL 60174

Hours:

By appointment only

Phone: (630) 232-1070          Fax: (630) 232-1471

© Copyright 2019 TriCity Family Services