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Client Forms

  • Psychiatric Advance Directive
  • Psychiatric Advance Directive.Spanish
  • Residential Individual’s Rights and Responsibilities.Spanish
  • PHC Individual Rights and Responsibilities.Spanish
  • Individual Served Rights and Responsibilities.Spanish
  • Residential Individual’s Rights and Responsibilities
  • PHC Individual Rights and Responsibilities
  • Individual Served Rights and Responsibilities
  • Affidavit of Lawful Presence.Spanish
  • Affidavit of Lawful Presence
  • Intake packet
  • Intake Packet – Spanish
  • Sliding Fee Scale
  • Sliding Fee Scale – Spanish
  • Release of Information
  • Release of Information – Spanish
  • Notice of Privacy Practice
  • Notice of Privacy Practices- Spanish
  • DEI Website Person served
  • Ethical Code of Conduct

Legacy Behavioral Health ServicesĀ 
3120 North Oak St Ext, Suite C
Valdosta, GA 31602

GCAL Crisis Hotline 24/7
1-800-715-4225

Crisis CenterĀ 
229-671-3500

Cook Mental Health Clinic
229-896-4559

Lowndes Mental Health Clinic
229-671-6170 or
229-588-2593

Tift Mental Health Clinic
229-391-2300

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  • Home
  • Services
    • Adult Behavioral Health Services
    • Child Behavioral Health
    • Crisis Stabilization
    • Residential Services
    • Developmental Disabilities Services
    • Evidence Based Practices
  • Client Forms
  • About
    • Leadership
    • Board Members
    • FAQ
    • Resources
  • SecurePay
  • Employment Opportunities
    • Open Positions
    • Hiring Event
  • News
    • Newsletters
    • Quality
  • Contact
    • Donate
    • Locations
    • Feedback
  • facebook