Branch Counseling Services
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Client Information Form

Thank you for contacting Branch Counseling Services I look forward to meeting with you. Please take a moment and download the Client Information Form and fill it out and return back to me at your convenience.

To download the document below just click on 
Download File.

​Once you have clicked on the 
Download File option you will be prompted to download the file to your computer or it will open the file up in your default PDF viewer/web browser. If the option opened in your default PDF viewer/web browser then please just download the document to your computer.

​Once downloaded please fill out & sign, and send it back via the 
Forms Return form below.

File Download

Client Intake Form (03/07/2022)
File Size: 167 kb
File Type: pdf
Download File


Branch Counseling Services accepts most major insurance plans including Medicare.

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CINDY BRANCH
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Two Locations

1 Huntington Rd, Ste 204
Athens, GA 30606
(706) 621-8699
[email protected]
Also available by 
Telehealth


423 Atlantic Dr
St. Simons Island, GA 31522
(706) 621-8699
​
[email protected]
Also available by Telehealth

Client Information Form
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