Paul Newell Seaman LCSW Counseling & Psychotherapy for Adults

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Paul Newell Seaman, LCSW
(708) 256-7285
15040 Ravinia Avenue
Suite 49
Orland Park, Illinois 60462
paul@paulseaman.com
Helpful Forms

If you are a first-time patient, please go to the previous page on this website
called "Appointment Request" and follow the directions.  If however you do not wish
to fill out forms online, please:
1. Select the " New Client Intake" "Policies" and "Limits of Confidentiality"  forms from the bottom of this page.
2. Download (Print ) them out locally to your printer.
3. Review, complet)e, sign, and bring them to our first appointment.
4. If you are using an insurance plan, please bring a photocopy of the
     front and back of your insurance card.

If you would like me to coordinate care with another provider (for example,
your psychiatrist, endocrinologist, etc.), please complete the
Authorization for Release of Confidential Information

New Client Intake Form  
Policies  
Limits of Confidentiality  
Authorization to Release Confidential Information  

Note: To download Adobe Acrobat Reader for free, click here.


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