Apply for Services

Admission Procedure

  • To begin the Intake Process, click on the “Apply for Services” link.
    • Make sure you fill out all information as best you can.
  • The Intake Coordinator will send an Intake Packet for parent/guardian to complete.
  • Upon completion of the Intake Packet, the Intake Coordinator will call to schedule an appointment and a tour of the facility.
  • General Information will be reviewed and additional information gathered to determine if services will benefit the individual and family.
  • Assessments may be required for more information about your child.
  • Upon completion of assessments, your child will be admitted for services or placed on a waiting list depending on availability of therapists.
If you have any questions or concerns about the admissions process, please contact the Intake Coordinator, at intake@stnickcenter.org.
Apply For Services
You may contact us by filling in this form any time you need professional support or have any questions.
Name:*
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Child Name:*
Child Age:*
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Phone :*
Service Requested:*
Insurance Provider:
Date:
Time:
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