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

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Consent to Telemental Health Treatment

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Insurance Authorization

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Credit Card Authorization

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Communications Policy

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Return to Office Policy

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