Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Note: To download Adobe Acrobat Reader for free, Click here.

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