THOMAS FRANSEN
COUNSELOR
Please take a few moments to download and complete the following required forms before we meet for our first appointment. This will allow us to spend more meaningful time together and help you avoid unnecessary waiting at the office. I look forward to our first visit. Please call me with any questions at 773.615.5949 or email me at: tom@mychicagotherapist.com I have included a map below of my office location as well as a link to CTA if you are taking public transit.

Thank you in advance for your time.

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Travel Information
OFFICE LOCATION
Copyright 2007
FORMS
Intake form
Informed consent
HIPAA Form
Email release
Appointment policy