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.

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    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

    FORMS