Chicago's Gold Coast . Chicago Lakeview . Oak Park | Illinois
Request an appointment with emanuel perez, lpc, MACMH
Hello,
Please complete the form below. Make sure to attach a picture of the front and back of your insurance card and photo ID. This will help us verify your intake. Once you submit this form, you will receive an intake packet via DocuSign.
Thank you for reaching out. I look forward to working with you!