Online Client Forms.

Please, complete and submit the appropriate forms online

Your forms will be automatically submitted and routed to your assigned therapist.

Thank you!

Client Forms:

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 info@1alliancecps.com