Required Forms

For all new clients, prior to your initial appointment, please complete and print the following online forms. If you are coming for couples or family counseling, each person should complete his or her own set of forms.

Optional Forms

The credit/debit card form is, of course, completely optional; please complete it if you would like us to keep your information on file to charge services for your convenience.

Credit/Debit Card Form (Optional)

Therapist Fee Schedules

Fee Schedule

Schedule an Appointment


    Contact Me

    Alpharetta Counseling & Therapy

    Beth Z. Jackson (LCSW)

    1065 Powers Pl, Alpharetta, GA 30009

    P:  (678) 699-0021 | (706) 425-8900

    If you are in crisis or any other person may be in danger – don’t use this site. These Resources can provide you with immediate help.

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