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Rachel A. Nichols, MS, LPC-S
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830 N.E. Loop 410 suite 205 San Antonio, Texas 78209 (210) 857-4508
Forms
https://form.jotform.com/nicholslpc/informedconsenttele
informedconsenttelepsychological2020.pdf
Adobe Acrobat Document
105.9 KB
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Kenda's Child Client Info Form - Copy.pd
Adobe Acrobat Document
128.5 KB
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https://form.jotform.com/nicholslpc/hippareceipt
https://form.jotform.com/nicholslpc/nicholscounselingadultintake2020
https://form.jotform.com/nicholslpc/child-client-information-form
Nicholscounselingadultintake2020.pdf
Adobe Acrobat Document
30.3 KB
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HIPPA acknowledgment form.pdf
Adobe Acrobat Document
108.8 KB
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Financial Information
Insurance information
finaiancial mcc.odt
Open Office Writer
30.5 KB
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RachelNicholsLPC@mycareercounseling.net
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