IN STEP BEHAVIORAL HEALTH, S.C.
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Patient Forms & Documentation

Access required intake forms, releases of information, and administrative paperwork prior to your appointment.

Prefer to Complete Forms Online?

Established and new patients can complete most registration documents securely through our Patient Portal. If you do not have portal credentials, please download the appropriate PDF forms below.

New Patient Registration Forms

Adult Intake Packet

Comprehensive registration paperwork for new adult patients (ages 18+), including medical history, consents, and practice policies.

Download Adult Packet (PDF)

Child / Adolescent Packet

Intake documentation for minor patients (under 18), requiring parent or legal guardian consent and developmental history.

Download Minor Packet (PDF)

Authorization & Specialty Forms

Release of Information (ROI)

Authorizes In Step Behavioral Health to share or request medical records from primary care physicians, therapists, or family members.

Download ROI Form (PDF)

Notice of Privacy Practices

This Notice describes how medical information about you may be used or disclosed and how you can get access to this information. Please read it carefully

Download Privacy Form (PDF)

How to Submit Completed Forms

1

Upload via Portal

Upload completed PDFs directly into your secure patient portal account.

2

Email or Fax

Email forms to our administrative team or fax them to (888) 409-5576.

3

Bring to Appointment

Print and hand completed physical copies to the front desk at your scheduled visit.


​In Step Behavioral Health

1024 W Main Street, St. Charles IL 60174

Click to call (630) 262-2640
Fax: (888) 409 - 5576
Admin Hours
(Clinical appointments available outside of admin hours)

​M:   8:30 am - 5:00 pm
T:    8:30 am - 5:00 pm
W:   8:30 am - 5:00 pm
Th:  8:30 am - 5:00 pm
F:    9:00 am - 2:00 pm

​​Some therapists offer extended hours, including evenings and weekends beyond those posted.  Please contact the office to inquire.


Prescription refill requests are accepted during office hours only and will  be processed within 3 business days.



NOTE: Patients with urgent or life threatening situations should ​call 911 or go to the nearest emergency room.​​

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© 2023 In Step Behavioral Health, S.C.-  All rights reserved.
  • Home
  • TMS
  • Spravato
  • Services
  • Appointments
  • Contact
  • Forms
  • Resources
    • FAQ
    • Careers