PRIMARY CARE PSYCHOLOGY ASSOCIATES, LLC
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Forms/Paperwork


All new patients need to complete an online patient portal profile in order to complete intake forms, keep their billing information up to date, and receive statements regarding services at PCPA. After you speak to one of our intake coordinators, you will receive an email from no-reply@valant.com which will have your username.  Please click on the link to start the set up of your patient  portal account. You will receive a second email from no-reply@valant.com within 24-48 hours which will direct you to our intake forms. Please call us at 847-686-0090 if you encounter difficulties during this process. 

Our patient portal can be accessed by clicking on the following link: https://www.valant.io/Portal/PCPA. 

Parents will need to complete PCPA's intake forms for patients under the age of 18. If parents of patients under the age of 18 are divorced AND share custody, both parents should sign the intake forms.

Prior to your first appointment, please kindly review PCPA's Privacy forms by following the link below: 
  • ​HIPAA Notice Form - Protection of Privacy

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"Cutting Edge Integration of Behavioral Health & Medicine"

Primary Care Psychology Associates, LLC
Phone & Fax: (847) 686-0090
admin@pcpachicago.com

Copyright © 2022
  • Home
  • About Us
  • Locations
  • Our Services
    • Individual Therapy
    • Child/Adolescent Therapy
    • Family Therapy
    • Couples Therapy
    • Assessment/Testing
    • Primary Care Psychology
  • Our Team
  • For Physicians
    • Integration With PCPA
  • Blog
  • Patient Resources
    • Insurance Information
    • Forms/Paperwork
    • Community Partners
  • Training and Career Opportunities
    • Adult Clinical Psychologist
    • Pediatric Psychotherapist
    • Doctoral Internship
    • Post-Doctoral Fellowship
  • Contact Us