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773-599-0891 | rebecca@rncounseling.com

Rebecca Nichols

Make an Appointment

Client Forms

If you are new, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

Client Intake Form

Information Sheet

Limits of Confidentiality

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

Authorization for Release of Information


401 S. LaSalle Suite 800I
Chicago, IL 60605

307 N Michigan Suite 412
Chicago, IL 60601

900 Skokie Blvd Suite 115
Northbrook, IL 60062

773-599-0891
rebecca@rncounseling.com

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