Registration Forms

If you are a new patient with TherapyWorks Counseling, please click on each link below and fill out these forms. We encourage you to email them in ahead of your appointment OR bring them with you to your first appointment. If filing insurance, please email or bring us a copy of your insurance card to your appointment as well. Thank you!

Client Registration below. Click link.

twc-intake-forms-92018.pdf

Please Feel Free To Contact my Office Anytime

LOCATION

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Office Hours

Healing Relationships

Jack Hileman, LMFT, AAMFT-Approved Supervisor

Monday:

Closed

Tuesday:

Closed

Wednesday:

8:00 am-8:00 pm

Thursday:

9:00 am-8:00 pm

Friday:

8:00 am-7:00 pm

Saturday:

9:00 am-4:00 pm

Sunday:

Closed

Annette Snider, LMFTA

Monday:

6:00 pm-8:00 pm

Tuesday:

Closed

Wednesday:

6:00 pm-8:00 pm

Thursday:

Closed

Friday:

10:00 am-6:00 pm

Saturday:

Closed

Sunday:

Closed

Allyson Shields, LPCA

Monday:

8:00 am-7:00 pm

Tuesday:

8:00 am-7:00 pm

Wednesday:

8:00 am-7:00 pm

Thursday:

8:00 am-7:00 pm

Friday:

8:00 am-7:00 pm

Saturday:

Closed

Sunday:

Closed

Frances Patton, LMFTA

Monday:

Closed

Tuesday:

Closed

Wednesday:

12:00 pm-8:00 pm

Thursday:

12:00 pm-8:00 pm

Friday:

12:00 pm-8:00 pm

Saturday:

10:00 am-8:00 pm

Sunday:

Closed