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We are a premiere Psychiatric and Counseling Center in South Georgia. We provide mental health services for individuals who are struggling with a variety of mental health concerns such as depression, anxiety, bipolar disorder, and others.

We Accept Most Major Commercial Insurance
Contact Us
Valdosta
(229) 244-2030
Tifton
(229) 387 8878

Request an Appointment

Contact Form - contact page

Info

arpsych@att.net
You may speak with a receptionist during the office hours
Monday through Thursday: 
8:00 a.m. – 5:00 p.m

Friday: 8:00 a.m. - 12:00 p.m.
After hours appointments are available as arranged by the provider.
If this is an emergency please call:

Insurances

We Accept Most Major Commercial Insurance

Valdosta, GA

(229) 244-2030
Fax : (229) 244 2038
3312 D North Oak Ext. St.,Valdosta, GA 31605

Tifton, GA

(229) 387 8878
Fax : (229) 387 8881
2014 Pineview Avenue Tifton, GA 31794
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Patient Forms

We've provided forms below that you'll need to complete before your first appointment. It will take you about 45 minutes to complete these forms.

All Forms

All Patient Forms for the New Patient-Adult

If you're a new patient then these are the only forms you need to download and complete.

All Patient Forms for the New Patient- Child

If you're a new patient then these are the only forms you need to download and complete

All Patient Forms for the New Patient- Counseling

If you're a new patient for counseling then the only forms you need to download and complete

Individual Forms

Controlled Substance Policy

If provider prescribes a controlled substance medication as part of a treatment plan

Authorization to receive Protected Health Information

With this form you give us authorization to receive health information from another facility or provider so we can provide you the best of care

Authorization to Release Protected Health Information

​With this form you give us authorization to release your protected health information to another facility or provider.

Consent for communication

This is another release of information form. This form is used to release information to family members and friends that may be involved in the care of the patient.

Informed Consent for Telemental Health services

If Telemental health services are needed.

General Information about AR Psychiatric and Counseling Center

​This form outlines general information about ARPCC to include clinic hours, types of appointments, our policy on late or missed appointments, insurance and payments, record keeping and more.

Notice of Privacy Practices

This form describes how medical information about you may be used and disclosed and how you can get access to this information.

Social Media Policy

This document outlines our office policy related to the use of social media.

Update Medical History - Adult

This form updates medical and psychiatric issues during follow up appointment of adults

Update Medical history - Child

This form updates medical and psychiatric issues during follow up appointment of children and adolescents