Wellspring Counseling
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Client Forms

Find the appropriate paperwork your counselor or coach instructed you to obtain and download it by clicking on the item below. We hope you find your experience at WellSpring convenient and helpful.

  1. Instructions for First Visit
  2. Client Information Form
  3. Personal Information Questionaire - Adults
  4. Disclosure and Consent Form
  5. Welcome and Clients Rights
  6. WellSpring Notice of Privacy Practices
  7. Questions to Ask Your Insurance Company
  8. Questions to Ask Your EAP.pdf”
  9. Marital Self Report
  10. Pre-marital Self Report
  11. Child/Adolescent Report
  12. Parent Report for Dependent Child
  13. Family of Origin Form
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Clinician Spotlight

Nicole Roberts, LPC

Nicole has worked with adults and adolescents for over 20 years. Her experience includes working as a residential supervisor and resident assistant where she helped young women who were battling various types of life-controlling issues and working with minor survivors of sex trafficking. She specializes in working with clients who have experienced depression, anxiety, life transitions, and grief. She is passionate about seeing individuals heal and find/fulfill their purpose.

Her hobbies include traveling, spending time with family and friends, and serving at her local church.

She has evening and Saturday hours available.

Request A Session
Nicole Roberts
Wellspring Counseling
  • Rivers Edge Corporate Center
    Building A, Suite 100
    1335 Dublin Rd.
    Columbus, OH 43215
    614-538-0353
Questions?Click here for answers!
Billing questions? Call 614-538-0353 ext. 6201

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  • A Central Ohio Youth for Christ Ministry