East Aurora Counseling CHILD Intake Form

Start your journey with EAC here!

IMPORTANT: BEFORE FILLING THIS FORM, PLEASE REVIEW EACs POLICIES.

IT IS ESSENTIAL THAT OUR POLICIES ARE READ BEFORE SERVICES ARE PROVIDED.

Click here or scan/click the QR code to read EACs policies.

About the intake:

The questions below will help our associates prepare your profile for future services.

Please answer all questions as thoroughly as you can, and we will get back to you ASAP!

All responses are confidential and are secured by our mailing system.

If you would like a paper copy of our intake, see below. Please print, scan, and email it to us at eastauroracounseling143@gmail.com or mail it to our office at 2755 Church Road, Aurora, IL, 60505. FAX here:

Paper copy of ADULT INTAKE PACKET (ENGLISH)

Paper copy of CHILD INTAKE PACKET (ENGLISH)

The child intake form starts here. Please allow yourself time to fill this form (around 10-30 minutes).

If the client is an adult (over 18), please fill out the adult intake form instead, found here