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Please complete the forms below that apply to you.  You can print them off and bring them to your first session or simply e-mail them to nicole4141347@gmail.com.
Adult intake assessment
Adolescent intake assessment
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:
Release of information
Nicole Gillispie, LCSW
Nicole Gillispie, LCSW
7410 New LaGrange Road Suite 302 Louisville, KY 40222
502.414.1347 / nicole4141347@gmail.com