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Client Requests for Letters,

Medical Records, or Forms

Current clients: please talk to your therapist about your request.

Former client please email us your request for the following:

  • medical records,

  • letters prepared by your therapist,

  • or other forms needing to be completed.

 

General Fee Rates (subject to change)

Letters from Therapist.............................................$100

Simple Form (1 page or less)...................................$100

In-Depth Forms (2+ pages)......................................$150

ADHD Assessments..................................................$200

Medical Records (Cost waived for clients UNLESS they have a past due balance)

Disclaimer 

Submitting this form does not guarantee we'll be able to fulfill this request. Upon submission of your request, you'll be contacted to arrange a deposit to begin this process. Deposits will be equal to half of the total cost for the letter/form and are non-refundable. If your therapist determines they are unable to meet the request, you'll be contacted and refunded your deposit.

 

Important Note

Requested materials will be ready within two (2) weeks of the day that you request it, unless you state that you need it by a different date. There is an additional $25 fee if the letter/form is needed in less than two weeks, and a $50 additional fee if needed in less than one week. We cannot guarantee that we can produce a letter in less than one week.  A Non-Refundable deposit is required to begin this process, and all fees are required to be paid before the materials are released.

At Bodhi Counseling & Consulting we promote the values of diversity, equality, inclusion, and justice. Our therapists are LGBTQ+ affirming and always strive to maintain and grow our cultural competence.
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100 Trade Centre Drive, Suite 302  •  Champaign, IL 61820

217-731-4638      info@bodhicounseling.care

© 2025 by Bodhi Counseling & Consulting, PC                                                            Proudly created with Wix.com

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