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:

Note: To download Adobe Acrobat Reader for free, Click here.

Contact Me

1810 Woodfield Dr., Suite 201; Savoy, IL61874

Availability

Call about extra availability during the Evenings and Sundays

Tony Nichols, LCPC

Monday:

8:00 am-9:00 PM

Tuesday:

8:00 am-9:00 PM

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

8:00 am-9:00 pm

Saturday:

Closed

Sunday:

12:00 pm-6:00 pm

Newsletter Sign Up

No form settings found. Please configure it.