Information for New Clients

Before your first visit, please complete the Intake Form and the Informed Consent:

Intake Form (PDF)

Informed Consent (PDF)

You can either fill these PDF forms out on your computer using Adobe Reader, save them to your computer, and then email them to mary@marysenn.com, OR print the forms, complete them in pen, and then mail them to:

Mary Senn, LCSW, ACSW
1740 Ridge Avenue, Suite 106
Evanston, IL 60201-3690

Burn's Anxiety Inventory (PDF)

Burn's Depression Checklist (PDF)

Geriatric Depression Scale (PDF)