Lighthouse Professional Counseling Center

2535 Bethany Road, Suite 210

Sycamore, Illinois 60178

Lighthouse Professional Counseling Center

1136 S. Delano Ct West, B201, Chicago, IL 60605

Contact us:

815-264-2431 (Phone)
815-264-2315 (Fax)

© 2016 by Lighthouse Profressional Counseling Service, LLC

New Client Registration​

Welcome to Lighthouse Professional Counseling Center. We are so pleased you have trusted us for your mental health needs. To make the process go more smoothly, you can fill out most of our forms online. We use a secure server for our forms in order to protect your privacy.

If you don't want to complete the forms online, you can download the forms, fill them out, and bring them with you on your first visit.

Thanks again for choosing Lighthouse Professional Counseling Center. We are looking forward to meeting you in person.




          Information about yourself

          Privacy & Rights Agreement

          Service Agreement/Consent


          Authorization to bill your insurance



Would you rather print the forms and bring them with you?