Registration Forms

If you wish to consider things we may discuss during the first session, you may want to review the following forms. Click on the links to view and download the forms:

• Registration
• Why Come Now
• Privacy Practice and Acknowledgement Form

Currently accepting new clients

Contact Dr. Bland at 773-404-8161
Office location | 856 West Buena Avenue | Chicago, IL 60613 (map)
Centrally located in the Lakeview  neighborhood (60657)
between Lincoln Park (60614) and Andersonville (60640)
Accessible by bus | Red Line | or street parking is available