Phoenix Rising Solutions, LLC

To Educate, Empower, & Enlighten

COUNSELING for PERSONAL &

RELATIONAL GROWTH

Jennifer Falbo-Negron, LCPC, RYT-500

COUNSELING FORMS 

For new clients, please download the following forms, including the new telehealth and/or in-person (during COVID-19) informed consent form(s) and fill them out prior to your visit.  Kindly let me know if you have any questions regarding information on the forms. We can be reached at 630-526-4325 or Jennifer directly at 630-215-5226. Thank you for your interest in Phoenix Rising Solutions, LLC.

Additional Forms due to COVID-19


We are providing telehealth and limited in-person services during the Coronavirus. We are here to help you through these uncertain times and with your other stressors or concerns. There is now an additional intake form for telehealth or in-person services below that needs to be completed prior to your appointment. Thank you for your cooperation.


We can help you set up telehealth services on your smart phone, desktop computer, laptop computer, and/or tablet with a camera and speakers.  We are currently using Zoom (HIPPA-compliant), doxy.me (HIPPA-compliant), FaceTime video and audio (end-to-end encryption), and telephone calls at this time during COVID-19.  Let us know how we can assist you or if you have questions.

 

Informed Consent for Telehealth Services Form pdf‚Äč


Informed Consent for In-Person Services during COVID-19 Form pdf