(309) 692-7755 Fax: (309) 692-2262

Christian Psychological Associates
John R Day & Associates, Ltd

Christian Psychological Associates John R Day & Associates, LtdChristian Psychological Associates John R Day & Associates, LtdChristian Psychological Associates John R Day & Associates, Ltd

Christian Psychological Associates
John R Day & Associates, Ltd

Christian Psychological Associates John R Day & Associates, LtdChristian Psychological Associates John R Day & Associates, LtdChristian Psychological Associates John R Day & Associates, Ltd
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    • Home
    • About Us
      • Who We Are
      • Our Therapists
      • Our Staff
      • Blog
      • Provider Spotlight
      • News and Updates
    • Services
      • Our Services
      • Forms and Payment
      • Policies
      • Insurance Information
      • Telehealth
      • Patient Ally
      • Resources
    • Locations
      • Locations and Maps
      • Location Photos

(309) 692-7755 Fax: (309) 692-2262


  • Home
  • About Us
    • Who We Are
    • Our Therapists
    • Our Staff
    • Blog
    • Provider Spotlight
    • News and Updates
  • Services
    • Our Services
    • Forms and Payment
    • Policies
    • Insurance Information
    • Telehealth
    • Patient Ally
    • Resources
  • Locations
    • Locations and Maps
    • Location Photos

Welcome!

Making a decision to seek counseling is not easy. If you would like to initiate therapy or psychological testing, please select the link below. Make sure you fill out all the information requested. Incomplete forms will delay the process. Thank you!

New Patient Intake

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Other Documents

These additional forms are used as needed. Please read more about our policies on our Policies page. 

RELEASE OF INFORMATION (pdf)Download
UPDATE PATIENT INFORMATION (pdf)Download
FINANCIAL POLICY (pdf)Download
AUTOPAY AUTHORIZATION (pdf)Download
SLIDING FEE APPLICATION (pdf)Download
COMMUNICATION POLICY (pdf)Download

2025 Fee Schedule

Initial Assessment 90791

PhD/PsyD/MA/MS

$270

Individual Psychotherapy 90837

PhD/PsyD/MA/MS

$230

Individual Psychotherapy 90834

PhD/PsyD/MA/MS

$190

Individual Psychotherapy 90832

PhD/PsyD/MA/MS

$150

Family Therapy 90847

PhD/PsyD/MA/MS

$230

Group Psychotherapy 90853

PhD/PsyD/MA/MS

$150


Psychological Testing 96130/1, 96136/7

PhD/PsyD

$350/hr

Plus a Report Fee to be determined

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