• Nest Therapy

    Client Intake Form: The information on this form is secure and will only be viewed by your therapist.
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  • Emergency Contact Information

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  • Medical History

  • Mental Health History

  • **If you are experiencing a mental health emergency and believe you are at imminent risk of harming yourself or others, please contact the services below:

    1)Mobile Crisis Intervention: 902.429.8167 or 1.888.429.8167 (toll free)

    2)Your local emergency room

    3)Your family doctor

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  • **Fee Policy:

    Please be advised that you are required to cancel your appointment 24 hours in advance to avoid paying 50% of my full fee. If you do not show for your appointment and/or do not provide suitable notice, you will be responsible for paying the full session fee before another appointment can occur. Please review my website for information on my fees.
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