Please complete the appropriate form for your specific clinician prior to your first appointment:

LETTER FROM DIRECTOR REGARDING TELEHEALTH SERVICES

*Nancy De Haas Dunn, LPC-S:

Adult intake packet for psychotherapy 

Child intake packet for psychotherapy

Couples intake packet for psychotherapy

Nancy De Haas Dunn's Release of Information form

Church Scholarship Client Agreement form

Pastoral Scholarship form

*To connect with Nancy using telehealth technology for your regularly scheduled appointment during COVID-19: www.doxy.me/dehaas

Please read and be prepared to discuss the Informed Consent for Telehealth Services prior to the first session. 

*Dr. Ashley Hoffman:

Click here to be directed to Dr. Hoffman's forms on her website.

*Click here to be directed to Dr. Hoffman's website to connect using telehealth technology for your regularly scheduled appointment during COVID-19

Please read and be prepared to discuss the Informed Consent for Telehealth Services prior to the first session. 

*Courtney Hanks, LICSW, PIP:

Adult intake packet for psychotherapy

Pastoral Scholarship form

*To connect with Courtney using telehealth technology for your regularly scheduled appointment during COVID-19: www.doxy.me/chanks

Please read and be prepared to discuss the Informed Consent for Telehealth Services prior to the first session. 

FORMS

5151 Research Drive NW

 Huntsville, AL 35805

P: 256-722-8091