Client Forms

If you’re a new client, please complete and read the following forms and bring them to your first therapy session. I look forward to getting started!

Consent Notice

Client Intake

Authorization for Release of Information

Limits of Confidentiality

DFL, Inc

Valerie Wise
9245 Calumet Ave. Suite 101-A
Munster, Indiana 46321

Phone: (708) 269-8063
Email: [email protected]

Contact Us

We look forward to hearing from you

Please do not submit any Protected Health Information (PHI).

Contact Today

Phone
(708) 269-8063

Phone 
(219) 810-6459

Email:
[email protected]

Find My Office

Specialties

  • Solution-Focused Brief Therapy (SFBT)
    • Individuals
    • Couples
    • Families
  • Biblical Life Coaching
  • Biblical Marriage Coaching
  • Clinical Consultation Services