Schedule Session

Client Portal Access-CLICK HERE

Please fill out the form below to request an appointment for a counseling session.

Information shared is confidential

Name

First Name

Last Name

Email

Message

What type of therapy are you interested in?

Couples

Family Counseling

Individual

What issue would you identify is a major concern?

Have you ever received counseling before?

Yes

No

Please share with us more information about your situation

How did you hear about us?

Would you like us to contact you?

Yes

No

Office Hours

Monday - Friday: 4:30 pm - 7:30 pm
Saturday 7:00 am - 3:00 pm
Sunday by appointment only

Georgia Water Well Office

159 Burke St. Suite 202
Stockbridge, GA 30281

What Happens Next?

Once you receive confirmation of your scheduled session, you will be emailed a series of forms to fill out. Please fill the forms below for each new client who will participate in your session before your scheduled appointment.

–––

Didn’t receive your forms? Submit a request for the forms here.

Questions or Concerns?

If you experience any difficulty in scheduling or would like to speak to someone directly please call 678-960-9355.