ResourcesFormsLocationsContact

Resources

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.
Contact Us
Valdosta
(229) 244-2030
Tifton
(229) 387 8878
Our Blog

Links

SUBOXONE (BUPRENORPHINE/NALOXONE) - Maintenance Treatment for Opioid Dependence

Opioid dependence, also known as physical addiction to prescription painkillers and heroin, affects a large number of individuals in the United States. Despite the prevalence of this issue, many individuals who struggle with opioid dependence may be hesitant to seek help due to the stigma surrounding drug addiction.
Read More

NeuroStar TMS Therapy

For those struggling with mental health concerns such as depression, anxiety, or OCD, finding the right treatment can be a challenge. Medications can come with side effects, and talk therapy may not be enough. However, there is a treatment option that offers new hope: NeuroStar Transcranial Magnetic Stimulation (TMS).
Read More

SPRAVATO® (Esketamine) Nasal treatment

Depression is a debilitating mental illness that affects millions of people worldwide. While traditional antidepressant medications have been helpful for some, others continue to struggle with their symptoms even after trying multiple treatments. Fortunately, there is a new treatment on the market that has been shown to be effective in treating treatment-resistant depression: Spravato.
Read More

Counseling for Mental Health: Exploring Treatment Methods

Mental health issues can be difficult to cope with, but seeking professional counseling can be a helpful step toward improving your well-being. There are several treatment methods available, and finding the right one for you may take some time. In this blog post, we'll explore some of the most common counseling methods used today. Counseling […]
Read More
About UsOur TeamServicesTMS Therapy
ResourcesFormsLocationsContact Us

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