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Hinsdale:(630) 270-7717
New Lenox:(815) 418-6070
Email:office@spectrumbehavioral.org
    Spectrum Behavioral Health
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      • Johnny Williamson, MD
      • Semone West, MD
      • Nayyar Afroz, MD
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    Patient Forms and Documents

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    Patient Forms and Documents

    Patient Forms and Documents

    To download the forms and information you need, simply click the links below. You can print and complete these patient forms in advance or we ask that you arrive early to make sure everything is complete prior to your visit with your doctor or therapist.

     

    New Patient Forms

    Authorization for Release of Medical Information Form

    Telehealth Consent Form

    Hinsdale Office:201 E Ogden Ave, Suite 118, Hinsdale, IL 60521
    Phone: (630)270-7717
    New Lenox Office:2081 Calistoga Dr, Suite 2S, New Lenox, IL 60451
    Phone: (815)418-6070
    Email: office@spectrumbehavioral.org
    Fax: (779) 803-3119
    © 2022 Spectrum Behavioral Health . All rights reserved.