Our paperwork is required to be filled out in full before your first scheduled appointment. It’s important for you to complete the paperwork before you arrive so you can spend your scheduled time with your clinician, not filling out forms. If you are not able to print these forms, we ask that you arrive no later than 30 minutes before your first appointment so that you have time to fill them out before your scheduled visit. When you schedule your first appointment, a member of our administrative staff can email you the specific forms you’ll need for your appointment.

Mental Health Counseling Forms

Bariatric Surgery Patient Forms

Nutrition Forms

Perinatal Forms

Medication Management Forms

Please note: Clients who are being seen for Medication Management must have their intake forms submitted NO LATER than 48 hours, or 2 business days, in advance to allow our provider enough time to review client forms. If forms are not submitted ahead of time for Medication Management, the appointment will be canceled, and the client will be rescheduled once the forms are submitted.

Notice Of Privacy Practices

  • Privacy Practices – Confidentiality is very important to us. We hope that you will read over this information to familiarize yourself with our policies that protect your private health information. You will find an acknowledgement of receipt for these practices in your packet listed above.

Other Forms

If there are any questions about these policies, please contact our office manager, Macon Funderburk,

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About Us

At Chrysalis, we believe that a supportive, healing environment is essential in order for change and growth to occur. We seek to offer such an environment to clients and help them create that in their lives and relationships. Read More

Client Satisfaction Survey


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Tue: 8AM – 6PM
Wed: 8AM – 6PM
Thu: 8AM – 6PM
Fri: 8AM – 4PM

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