Please complete the following paperwork prior to your first therapy or psychological testing session, and bring the paperwork with you to your first appointment.  Please do not send this information electronically.

Client Information Form

Client Contract



Please complete the following paperwork prior to your pre-surgery bariatric evaluation.

Bariatric Initial Paperwork


While you always have the choice to send these completed forms by email, please be aware that email is not a confidential means of communication. There is a chance that these files could be exposed to unknown third parties on the Internet. They may also be exposed to people closer to your life, such as people in your home or, if you are sending the email from work, your employer(s.) Please take these facts into consideration before emailing these forms to us, and be aware that you always have the option to print these forms and bring them to the office at the first session.


Psychological Services in the New Lenox and Joliet Area

MidAmerican Psychological Institute proudly serves New Lenox, Joliet, Homer Glen, Lemont, Frankfort, Orland Park, Tinley Park, and the surrounding areas. For more information about our services or to make an appointment, please contact us or call 815-735-0732.