1752 Capital St. Suite 100. Elgin. IL. 60124
(847) 695-3680
Please download and complete the necessary forms prior to your scheduled appointment.
Help us provide better services by completing this online survey please.
It helps us determine your, or your child's, eligibility for services
Describes how we handle behavior problems in case they occur at one of our offices.
Explains how we handle appointment cancellations.
Describes regular fees for different services.
Describes costs for services.
Helps determine a client’s ability to pay for therapeutic services offered by the agency.
It helps us determine the amount you would pay for services depending on your income
It explains you rights and responsibilities as a Family Service Association Client
Group of forms you must sign before receiving services
Explains how your protected health information is handled. It also explains your rights as a Family Service Association client
FSP application packet
Help us provide better services by completing this paper survey please.