drpooler@eaccs13.com | (478) 304-5060
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Make an Appointment: drpooler@eaccs13.com | (478) 304-5060
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Phone: (478) 304-5060 | Fax: (478)-272-3631 | drpooler@eaccs13.com

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  • Home
  • About
    • Vision, Mission, Values
  • Services
    • ADD/ADHD Counseling
    • Anger Management
    • Cognitive Behavioral Therapy
    • Conflict Resolution
    • Counseling for Anxiety
    • Counseling for Trauma
    • Couples Counseling
    • Family Counseling
    • Grief & Bereavement Counseling
    • Group Therapy
    • Individual Therapy
    • Pre-Marital Counseling
    • PTSD
    • Social Anxiety Disorder Counseling
    • Telehealth
    • Therapy for Depression
    • EMDR Professional
  • Getting Started
    • FAQs
    • Rates and Insurance
    • Client Forms
    • Appointment Request
  • Resources
    • Mental Health Links
    • Physical Health Links
  • Contact
  • Blog
(478) 304-5060

drpooler@eaccs13.com

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Client Forms

If you are new, please be sure to fill out the following forms, and bring them to your first session. This will help ease you in and allow as much time as possible to focus on you.

  • Client Intake Form
  • Information Sheet
  • Limits of Confidentiality

If you feel that you would like to collaborate your session with another provider, simply fill out the following form.

  • Authorization for Release of Information

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513 Academy Avenue STE B.
Dublin, GA 31021

Phone: (478) 304-5060
Fax: (478)-272-3631
drpooler@eaccs13.com

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