Helpful Forms

If you're a new client, please complete the following forms and bring them to your first session.

  • Client Intake Form

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form:

  • Consent to Release Information Form
Client Intake Form

Disclosure Authorization

Note: To download Adobe Acrobat Reader for free, click here .

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Helpful Forms

Click here to view and print forms for your appointment.

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C. Jeffrey Brogdon

  113 Bascom Court Suite C Columbus, GA 31909