Pre-Anxiety Intake | ATC West Michigan

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Pre-Anxiety Intake & Same-Week Scheduling with Dr. Shawn Nabors, LPC.

Scheduling Note: Please start by filling out the secure pre-anxiety intake form below. Once you submit this form, you will be redirected to our active calendar to schedule your new client appointment with Dr. Nabors for this current week or the following week, if you prefer.

Brief Pre-Anxiety Intake

Full Name*

Email *

Phone*

Who are you providing information for?*

Full Name (minor teen 16+)

If starting treatment for a minor, please enter the full name of your minor 16+ teen here.

Tell Dr. Nabors about your anxiety.

How much does anxiety affect your life overall? (0–10) 0 = Not at all, 10 = Severely*

How long have you experienced your current anxiety issues for?*

Please briefly and as best as you can, explain your anxiety issues below*

Check all that apply to your experiences with anxiety

Sadness related to anxiety

Anxiety in specific situations only (driving, heights, getting sick)

Social anxiety

Constant shyness / introversion

Panic attacks

High anxiety panic-like symptoms

Uncontrollable worry

Intrusive unwanted thoughts and repetitive anxious behaviors

PTSD

Health anxiety

Perfectionism

Performance anxiety (work, school, social)

None of these apply to my anxiety

What Happens Next

Once you click below, your pre-anxiety intake will be securely processed for Dr. Nabors' clinical review. You will be instantly redirected to our active calendar to schedule your new client appointment with Dr. Nabors for this current week or the following week if you prefer.

The Anxiety Treatment Center of West Michigan, PLLC

Email: atc@anxietykalamazoo.com

Phone: 269-359-1873

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