Intake Forms

New Clients: Please fill out the following forms to prepare for your appointment.
All forms are submitted through a secure, encrypted connection. Your privacy is our first priority.

Informed Consent to Treatment

Counselors Under Supervision Informed Consent

Consent to Telemental Health Treatment

Insurance Authorization

Credit Card Authorization

Communications Policy

Return to Office Policy

128 Francis Meeks Way, Suite 16
Richmond Hill, GA 31324
Phone (912) 508-1223