DYNAMIC DIRECTION COUNSELING

(847) 463-1055

Nicole Guther-Rogowski

(847) 463-1055

Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

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Remember, your mental health matters, and taking positive steps to manage stress is a sign of strength and growth.

Dynamic Direction Counseling offers daytime, evening, and weekend appointments. We offer in-person and telehealth appointments for your comfort.

Clinicians set their own schedules to accommodate their clients. Phones and emails are monitored 9AM-6PM

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Please do not submit any Protected Health Information (PHI).