Intake Form
Sign up for services
This form is designed to help us understand your needs and provide tailored support for your therapy, supervision or adult ADHD assessment. All information provided is confidential and will be handled in compliance with GDPR for services within Europe and HIPAA for services within the United States.
Nicole Paulie is a fully chartered Counselling Psychologist with the Psychological Society of Ireland. Additionally she is a fully Licensed Practising Counsellor (LPC) in the state of Missouri in the United States.
If you have any questions, please contact us