First time clients please complete the forms below prior to attending your first session. If you have any questions regarding these forms please don't hesitate to contact me.

Client Forms

Receipt of Privacy Notice

HIPPA

Individual/Couples Counseling

Marie Murad-Feldman M.A., LCPC

1742 West Diversey #3
Chicago IL, 60614
773-230-0902
refeldma@gmail.com