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Beautiful Mind Therapy
  • Home/
  • Services/
  • Insurance/
  • Contact us/
  • About us/
    • About Asta
    • About Indy
    • About Christine
    • About Lori
    • About Natasha
    • About Vicki
  • Forms/
    • Asta's Forms
    • Immigration Forms
    • Release of Medical Information
    • Good Faith Estimate Notice
    • Notice of Privacy Practices
    • Statement of Non Discrimination
  • Immigration/
  • Blog/
  • Supervision/
    • Private Practice
    • Licensure
  • Press/
    • Articles
    • Lectures/Public Speaking
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Beautiful Mind Therapy

Taking exceptional people and helping them reach their highest potential!

Immigration Forms

Therapist Asta Klimaite, owner of Beautiful Mind Therapy (708-695-4808), providing  individual and family therapy for adults with depression, grief, mood disorders, bipolar disorder, anxiety, trauma and PTSD, obsessive - compulsive (OCD) behaviors, panic attacks, insomnia, self-harming behaviors, eating disorders (anorexia, bulimia, overeating), low self-esteem, relationship issues, couples/marriage counseling, divorce issues, family conflict counseling, and coping skills. Providing teletherapy (psychology helpline) over the phone and video.

We provide immigration psychological evaluations and psychosocial evaluations.

Asta provides counseling in these areas (Therapist near me):

Teletherapy / tele-therapy / video therapy

Counties - Cook, Wayne, and DuPage

Areas (Chicago location) - Loop, Golden Coast, Near North, Cabrini-Green, Old Town, Goose Island, River West, Noble Square, Eat Village, West Town, Greektown, Little Italy, University Village, East Pilsen, South Loop. 

Areas (Bartlett location) - Hanover Park, Hoffman Estates, Streamwood, Schaumburg, Roselle, Bloomingdale, Keeneyville, Carol Stream, Lakewood, Wayne, Elgin, Campton Hills, St. Charles, Geneva, and West Chicago.    

 

Beautiful Mind Therapy
  • Home/
  • Services/
  • Insurance/
  • Contact us/
  • About us/
    • About Asta
    • About Indy
    • About Christine
    • About Lori
    • About Natasha
    • About Vicki
  • Forms/
    • Asta's Forms
    • Immigration Forms
    • Release of Medical Information
    • Good Faith Estimate Notice
    • Notice of Privacy Practices
    • Statement of Non Discrimination
  • Immigration/
  • Blog/
  • Supervision/
    • Private Practice
    • Licensure
  • Press/
    • Articles
    • Lectures/Public Speaking
 

For immigration assessment only

Please fill out these forms and e-mail them to the office, thank you!

Immigration Intake Assessment

DSM — 5 Self-Rated Level 1 Cross—Cutting Symptom Measure—Adult

NSESSS — Severity of Posttraumatic Stress Symptoms—Adult

Level 2—Anxiety—Adult

Level 2—Depression—Adult

LEC—5

PCL—C — PTSD Checklist—Civilian Version

WHODAS—2

AAS — Abuse Assessment Screen

HITS — Hurt, Insulted, Threatened with Harm and Screamed

WAST — Woman Abuse Screening Tool (For women only)

BAI — Beck Anxiety Inventory

BDI—2 — Beck Depression Inventory—2

Release of Information Form

Informed Consent for COVID

 

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