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

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