top of page
Home
About Us
Our Staff
Therapy Services
Individual Therapy
Relationship Therapy – Couples
Relationship Therapy-Non-monogamy
Sex Therapy
LGBTQ+ Affirmative Therapy
Adolescents
Veterans
EMDR
Chronic Pain
FAQS
Payment Options
Blog
Employment
More
Use tab to navigate through the menu items.
First and Last Name
*
Preferred Name
Email
*
Phone
*
Are you interested in making an appointment?
*
Yes
No
Are you planning to use insurance? (Georgia residents only)
Yes
No
Please select the name of your health insurance company
Member ID #
Date of Birth
Month
Month
Day
Year
Please provide any additional information or ask us questions in the box below
Submit
bottom of page
