Contact Us

How Can we help?

Do you have questions about Counseling or other services provided in our office? Let us know how we can help and someone from our office will get back with you soon! Click the link below to complete our online contact form.

Contact Form

* Indicates required field

Name of Client *

First

Last

Phone Number *

Guardian Name (If Under 18) *

Email *

Date of Birth of Client *

Insurance Provider (Enter N/A if not interested in using insurance) *

Insurance Member ID (Enter N/A if not interested in using insurance) *

Where would you like to meet with your counselor? (Which office?) *

Atlanta Statesboro

I am interested in (check any that apply) *

In-Person Services Telehealth Services Other

How Can We Help? *

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