*At Salient we are an Out of Network provider for your insurance plan.
We will provide a "superbill" receipt for each visit that you may submit to your insurance company for reimbursement.

 
To select a package or to purchase a gift card for someone,  click Packages & Gift Cards at the top of the form.   After completing the purchase, you will be given a Redeemable Code to use for scheduling future appointments.

 If you need assistance in scheduling an appointment or have questions, please call 404.444.3502 or email Rebekah at  rebekah@salientcounseling.com.

New Clients need to complete this form after scheduling an appointment and either email it to rebekah@salientcounseling.com prior to your initial appointment or you can bring it with you as well.