Online Client Forms.
Please, complete and submit the appropriate forms online
Your forms will be automatically submitted and routed to your assigned therapist.
|Online Registration (Information, Service Agreement, and HIPPA Notice)||Online Form|
|Release of Information||Online Form|
|Credit Card Authorization Form||Online Form|
If you have any questions regarding these forms please contact us at 678.310.6631 in GA, 336.567.3001 in NC, or email us at firstname.lastname@example.org