Business Forms

Empowering Minds Counseling is a paperless practice. This process protects our staff, our clients, and coordinated care team members while saving money and protecting the environment. 

Our easy to use HIPAA-compliant software provides an all-in-one location for clients to review consents and policies, complete questionnaires, manage their appointments, participate in Telehealth services, communicate with their provider, and manage their account. 

If you would like us to send you a New Client packet via email, we would be happy to do so upon request. 

Empowering Minds Counseling is committed to protecting the confidentiality of our client's protected health information. The privacy practices described in this notice and addendums are followed by all members of your care team. 

If you would like to request a copy of records and do not have access to your Secure Client Portal, please complete an authorization form then fax to (815) 324-5102 or email to [email protected].

Talk with our Client Care Coordinator to start your journey!

Call Us!
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Administrative Hours- Phone

Monday - Friday:

9:00 am - 5:00 pm

Saturday, Sunday:


Appointments Available- **based on provider

Monday, Sunday:



8:00 am - 5:00 pm


10:00 am - 7:00 pm

Thursday, Friday:

8:00 am - 8:00 pm


9:00 am - 5:00 pm

New clients, get started by submitting a form that provides us basic information about your needs. We will then contact you within 48 Administrative Hours to schedule an appointment. 

New Client Application