Client Forms
Georgia Notice Form
Notice of Anisa Grantham, LPC, MAC/Rincon Recovery Resources Policies and Practices to
Protect the Privacy of Your Health Information
Patient Intake Form
Please fill out to the best of your ability and email back to us at [email protected].
Confidentiality and Billing Disclosure
Information about our confidentialy and privacy, billing, payment, and missed appointment policies.
Interaction with the Legal System
An agreement pertaining to legal system proceedings.
Informed Consent for Telemental Health Services
Information on telemental health services and authorization for counseling.
Contact Us
For any inquiries please contact us.
Rincon, GA
(912) 826-0918
[email protected]
https://anisagrantham.com
