Forms
REGISTRATION SHEET AND CONSENT FOR TREATMENT
Download Registration Form (pdf)
Download MEA Cares Employee Assistance
Program – Informed Consent (pdf)
Download MEA Cares Counseling – Informed Consent (pdf)
Notice of Privacy Practices
Copy of our Notice of Privacy Practices
Office Hours:
Monday – Friday,
8am- 5pm
Ridgeland and Jackson
Contact Information:
For more information
or to set up an
appointment with
a Counselor,
call (601) 898-7520 or
1-800-844-6503.
Patient Satisfaction Survey
We would like to know how you feel about the services we provide so we can make sure we are meeting your needs.
Please know all responses will be kept confidential and anonymous.
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