977 Lakeview Parkway, Suite 102, Vernon Hills, IL 60061 ... (847) 680-0755 ..l.. fax: (847) 573-1617 ..........
 

 

 

 

 

 

 

 

 

 

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Clinical Forms

We do not require forms to be completed prior to your first psychotherapy appointment. However, in the interests of making the most of your time during your initial session, you may wish to download, print and complete our registration forms below, depending on the service you will be receiving from Hawthorn Counseling Group. Then you would download, print, review, complete and sign where indicated, bringing the entire set of documents with you to your first appointment.

 

  • If you will be receiving individual, family or couples counseling services from Hawthorn Counseling Group please download and complete this set of patient registration forms.


  • If you will be receiving a specialized evaluation service from HCG, such as an independent assessment, workplace fitness evaluation, presurgical clearance or school fitness evaluation, please download and complete this set of patient registration forms for evaluation services.


  • If you will be utilizing Hawthorn Counseling Group to receive collaborative divorce coaching or child specialist services, please download and complete this retainer agreement and related forms for collaborative divorce coaching or child specialist services. As noted on the forms, if HCG is being retained as a single coach in a collaborative divorce case, both parties would separately complete and return a retainer agreement. If HCG is providing coaching services to one party, or if child specialist services are being retained, only one set of forms needs to be completed.


  • If you will be utilizing Hawthorn Counseling Group to receive mediation services or parenting coordination services, please download and complete this agreement to mediate form and related forms. As noted on the forms, both parties to the mediation are asked to review and sign a mediation agreement.

 

Community Education Materials

Dr. John Jochem has provided community educational presentations on a number of topics pertaining to behavioral health, wellness and adolescent development. Handouts and PowerPoint slide presentations which support these presentations may be accessed below.

Academic success handout

Adolescent depression handout

Adolescent development PowerPoint slides

Adolescent development handout

Adolescent launching handout

Anger management handout

Holiday stress & depression handout

Internet safety for children & adolescents handout

Limit setting with teenagers handout

Developing an optimistic attitude handout

Summertime survival guide for parents of teenagers handout

Changing unhealthy habits

 

Professional Training Materials

Dr. John Jochem has also provided training events for professional staff concerning a wide variety of issues concerning evaluation, intervention and self-care for mental health professionals. Handouts and PowerPoint slide presentations which support these presentations may be accessed below.

Posttraumatic consultation training manual table of contents

Compassion fatigue handout

Compassion fatigue self test

Law enforcement training re: mental health handout

School violence prevention handout

School-based suicide prevention program PowerPoint slides

 

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