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The Nicholls Group
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Services
Neuropsychological Evaluations
Academic Evaluations
Emotional/Behavioral Evaluation
Autism Spectrum Disorder
Dementia and Senior Citizen Concerns
Forensic Evaluations/Records Review
Gifted Evaluations
Psychotherapy/Counseling Services
Encopresis Consultation
HIPAA Agreement
Professional Staff
Dr. Aimee Hammer
Dr. Gregory Logid
Dr. Stacey Halverson
Dr. Amber Schaefer
Dr. Kristin Crocfer
Dr. Christina Lebovitz
Dr. Christopher Nicholls
Kylie Isaacs
Our Office
New Patients
Forms
The Nicholls Group
Home
Services
Neuropsychological Evaluations
Academic Evaluations
Emotional/Behavioral Evaluation
Autism Spectrum Disorder
Dementia and Senior Citizen Concerns
Forensic Evaluations/Records Review
Gifted Evaluations
Psychotherapy/Counseling Services
Encopresis Consultation
HIPAA Agreement
Professional Staff
Dr. Aimee Hammer
Dr. Gregory Logid
Dr. Stacey Halverson
Dr. Amber Schaefer
Dr. Kristin Crocfer
Dr. Christina Lebovitz
Dr. Christopher Nicholls
Kylie Isaacs
Our Office
New Patients
Forms
Home
Folder: Services
Back
Neuropsychological Evaluations
Academic Evaluations
Emotional/Behavioral Evaluation
Autism Spectrum Disorder
Dementia and Senior Citizen Concerns
Forensic Evaluations/Records Review
Gifted Evaluations
Psychotherapy/Counseling Services
Encopresis Consultation
HIPAA Agreement
Folder: Professional Staff
Back
Dr. Aimee Hammer
Dr. Gregory Logid
Dr. Stacey Halverson
Dr. Amber Schaefer
Dr. Kristin Crocfer
Dr. Christina Lebovitz
Dr. Christopher Nicholls
Kylie Isaacs
Our Office
New Patients
Forms

Forms

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New Patient
Intake/Consent Form

Patient Forms

Background History Form

Office Forms

Exchange of Records (ROI)

Records Request (if over 18 MUST be requested by the patient-we will call to verify identity)

Teacher Form

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Our Office

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9965 N. 95th Street, Suite 101
Scottsdale, AZ 85258 - Building C

Hours: Mon.-Thurs. 8am to 5pm

Phone: 480.998.2303

Fax: 480.998.3169

Email: tngadmin@thenichollsgroup.com

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