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Appointment Request Form

To ensure a smooth and tailored counseling experience, we kindly ask that you complete our "Get Started" form when signing up to book your appointment. The forms below are NOT intended for consultation purposes.

**Please choose the correct form before completing (one is for Providers/Agencies/Hospitals only and the other is for Clients)

Appointment Request Form (For Clients & Providers ONLY)

Thank you! We’ll be in touch.

CONTACTS:

         info@seekwisecounseling.com

        (770) 589-7938

550 Fairburn Rd, Suite A3B, Atlanta Ga 30331

WE ACCEPT ALL STANDARD FORMS OF PAYMENT, PAYMENT PLANS AVAILABLE UPON REQUEST

INSURANCE ACCEPTED:

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Aetna (First Health Network), Blue Cross-Blue Shield, United Healthcare, Optum, Cigna, Amerigroup, CareSource, Peach State Health Plan, Ambetter and Spring Health EAP

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©2022 by Seek Wise Counseling

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