Schedule An Appointment — Prelude Mental Health Counseling

Ready to schedule your appointment?

Call us directly at (706) 671-2520 to schedule your appointment.

Or, complete this form and click submit. Upon receipt of form, you will be contacted within two business days.

Name:

First Name

Last Name

Phone:

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Email:

Additional Information:

Provide a very brief description of what you're experiencing

Referred By:

Confidentiality Statement:

This form will automatically be sent to clinician’s HIPPA-compliant email address when you click SUBMIT. Use discretion with any information you choose to provide in this form. Information sent via email. There is never a 100% guarantee that an email cannot be intercepted. This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited.

I have read and acknowledge the Confidentiality Statement.