Ebbes Professional Counseling Services, LLC
Ebbes Professional Counseling Services, LLC

Patient Forms

New patients will need to fill out several forms before therapy can begin. To make the process as smooth and efficient as possible, we provide the most important documents as downloads right here on our website.

 

Find out which forms you need to submit, select the appropriate download link and return the completed documents to our practice either in person, by fax or as a scanned PDF file via e-mail. Naturally, all forms are also available at the practice; however, filling them out in advance saves time.

If you are unsure which forms to fill out, don't hesitate to contact us.

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.

Where to Find Us

Ebbes Professional Counseling Services, LLC

Eunice M. Bucknerboone, MS, LCPC

206 North Randolph Street

Suite 405

Champaign, Illinois 61820

 

Phone: 217-355-0825

Fax:  217-355-1466

 

Email:

Ebbescounseling@aol.com

Office Hours

By  appointment

Patient Forms

New patient? Save time and reduce the amount of paperwork you have to fill out at your first visit. We provide several patient forms as PDF downloads on our site.

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