Contact Us[email protected]404-490-0439 (Call or text)Service Area: All of Georgia New Client InquiryReady to start therapy with Atkins Mental Health? Complete the new client inquiry form below.First and Last Name *Date of Birth *Email Address *Phone Number *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Gender IdentityBrief description of why you are seeking therapy: *0 / 150Other areas of concern:AnxietyDepressionMood StabilityPanic AttacksPsychosisTraumaAlcohol/Substance UseRelationship IssuesPersonal GrowthInterpersonal CommunicationSleepAppetite/Eating Disorder ConcernsCheck all that applyHave you ever been diagnosed with a mental health condition? *Check oneYesNoWhat diagnosis? *Are you 18 years or older? *Check oneYesNoGuardian InformationFirst and Last Name *Date of Birth *Email Address *Phone Number *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Are there any legal obligations requiring this visit? *Check oneYesNoPlease describe legal obligations: *Do you want to apply for sliding scale or reduced fees based on income?Check OneYesNoPlease list total yearly household income. Include income from others who help you pay your bills.How did you hear about Atkins Mental Health?Consent *I agree with the privacy policy. I understand Atkins Mental Health is currently only offering virtual appointments using a HIPAA compliant audio/video platform. I understand Atkins Mental Health is not currently accepting insurance and the fee for therapy services is $125 per session unless I qualify for sliding scale or reduced fees. Send MessagePlease do not fill in this field.
