Consent Forms (1)

The following is a series of consent forms that must be acknowledged, filled-out or sign to begin and maintain services at Still Waters Professional Counseling Services, Inc.

Step 1 of 10

Still Waters Professional Counseling Services, Inc. (Still Waters)

3711 Executive Center Dr. • Augusta, GA 30907

Individual Receiving Services Information

Individual's Name
Consent Status

Custodial Parent or Legal Guardian Information

Custodial Parent or Legal Guardian Name