Dr. Nichol Eaton-Wolkiewicz, PsyDLicensed Psychologist

Initial appointment

Intake paperwork

Please download and complete the Consent/Release/Policy form, Service Agreement, and either the Child/Adolescent or Adult Intake form. Bring completed forms to your initial appointment. HIPAA information is for your reference.

Consent, release & policiesDownload ↗Service agreementDownload ↗Child/adolescent intake formDownload ↗Adult intake formDownload ↗HIPAA informationDownload ↗