Client Intake Forms for DCHD Appointments

Intake forms are typically reviewed in person during your appointment (or as required, such as in the case of releases of information, annual reviews, etc.). You will have the chance to ask any questions you may have during your appointment.

If you have any questions prior to your appointment, please call (630) 682-7400. 

Intake Forms for Behavioral Health Services (BHS)

English Forms Spanish Forms 
Client Rights (PDF) Derechos del Cliente (PDF) 
Authorization to Release Information (PDF) Autorización para Divulgar y Revelar Información (PDF)
Substance Use Authorization to Release Information (PDF)Consumo de Sustancias Autorización para Divulgar y Revelar Información (PDF)
Client Handbook (PDF)Manual del Cliente (PDF)
Privacy Notice & Consent to Treat (PDF)Consentimiento para Tratamiento y Aviso de Privacidad (PDF)
BHS Consent to Share (PDF)

Intake Forms for Public Health Services (PHS)

English Forms
Spanish Forms