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You can also call us at our main office

706-425-8900

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Your preferred Therapist (if any) Or any details about the therapist you'd like (gender, special training, etc):

Tell us about what you'd be working on:

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For example: Mondays or Wednesdays in the afternoon

Age of Person (s) needing services (please note our providers generally only see clients age 18+):

If you have health insurance, that you are hoping to use what kind is it? (If using insurance is not applicable or not a requirement for you, please note here) (If you are open to having us file for your out of network benefits in the event we do not have an in-work provider, note that here too)

Please provide any additional information that will help us connect you with what you need. (insurance, accessibility needs, things you'd be working on, etc.)

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