Intake Forms

To get started go ahead and fill out the appropriate intake form below.

Forms can be faxed to (904) 374-3057 or brought in to our office
If you have any questions or concerns, please do not hesitate to contact us at (904) 562-1391

Meet The Clinicians

Dr. Marek Hirsch

Board Certified License Psychiatrist, MD

Ms. Millie Sagesse

MS, LMHC

Mr. David Lee

MS, LMHC

Josephine Ibisagba

MS, LMHC
View our Clinicians >