BEHAVIORAL HEALTH CONSENT FORM
BEHAVIORAL HEALTH CONSENT FORM
As of January 2024, Nicole Shanahan is now part of Reading Pediatric Associates.
We are thrilled to have Nicole Shanahan LMHC in our office. Nicole is available on site to provide consultation, evaluation, education, brief treatment and referral guidance for children and families. Nicole is available Monday and Wednesday afternoons.
Nicole will be available for questions, concerns, or for help with:
Worry, Anxiety, Phobias, Panic & OCD
Shyness & Selective Mutism
School Resistance
School or Learning Difficulties
Conduct Problems
Adjustment Problems
Depression
Pain, Health & Medical Conditions
Tics & Habit Control Problems
Body Image & Disordered Eating
Family Crises
Parent-Child Conflicts
Sibling or Peer Group Conflicts
Trauma
ADHD consultation
Developmental consultation
Nicole will be available for questions, concerns, or for help with:
Worry, Anxiety, Phobias, Panic & OCD
Shyness & Selective Mutism
School Resistance
School or Learning Difficulties
Conduct Problems
Adjustment Problems
Depression
Pain, Health & Medical Conditions
Tics & Habit Control Problems
Body Image & Disordered Eating
Family Crises
Parent-Child Conflicts
Sibling or Peer Group Conflicts
Trauma
ADHD consultation
Developmental consultation
If you or your child’s PCP believe a consultation may be helpful we can
• Introduce you to our Behavioral Health Provider at the time of your visit
• Schedule a future appointment for your or…
• You may call Reading Pediatric Associates to help you schedule an appointment:
Before your first visit with Nicole, fill out a BH Consent Form