Hope Centered Wellness Group > FORMS
FORMS
If you're a new client, please complete the following forms and bring them to your first therapy session.
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
During the first session we go through an initial intake questionnaire form.
Note: To download Adobe Acrobat Reader for free, Click here.
keep up to date with advantage
Subscribe to Our Newsletter
Please do not submit any Protected Health Information (PHI).
AVAILABILITY
Call About Extra Availability During The Evenings
TONY NICHOLS, LCPC
Monday:
12:00 pm-9:00 pm
Tuesday:
9:00 am-9:00 pm
Wednesday:
9:00 am-5:00 pm
Thursday:
9:00 am-9:00 pm
Friday:
Closed
Saturday:
Closed
Sunday:
Closed
SHANDA NICHOLS, LMT
Monday:
12:00 pm-9:00 pm
Tuesday:
9:00 am-9:00 pm
Wednesday:
9:00 am-5:00 pm
Thursday:
9:00 am-9:00 pm
Friday:
Closed
Saturday:
Closed
Sunday:
Closed
JESSICA HUNT, LSW
Monday:
12:00 pm-9:00 pm
Tuesday:
9:00 am-9:00 pm
Wednesday:
9:00 am-5:00 pm
Thursday:
9:00 am-9:00 pm
Friday:
Closed
Saturday:
Closed
Sunday:
Closed