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KENSTANEK.NET
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Prior to your first visit, please download and fill out the Patient Registration Form.  If you don't have access to a computer or printer, the form can be printed and filled out upon first visit. 
kjs_patient_registration_5...doc
File Size: 141 kb
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40_question_survey.jpg
File Size: 551 kb
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vaccine_schedule.pdf
File Size: 99 kb
File Type: pdf
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consultation_form_3.24.12.doc
File Size: 295 kb
File Type: doc
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Kenneth J. Stanek, PhD, LCPC, BCPC, SC
Licensed Clinical Professional Counselor
Board Certified - American Psychotherapy Association
Fellow, American Psychotherapy Association(DAPA)

4415 W. Harrison, Suite 307, Hillside, IL 60162
708.439.1327 \ FAX: 708.924.1328


www.kenstanek.net


Please feel free to fill out the information below and someone will be in contact with you within 24 hours. 

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