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Begin services with INSIE

Download the fillable intake application.

Type directly into the PDF, save it to your device, and contact our intake team for secure return instructions.

Download fillable application View before downloading

What happens next

Complete, save, and contact our intake team.

1Download

Save the fillable PDF to your device before entering information.

2Complete and save

Fill out applicable sections, save again, and keep a copy for your records.

3Contact INSIE

Our team will provide the approved secure return method and next steps.

770-744-2699Request secure return instructions

Do not attach a completed intake packet to ordinary email. It may contain medical, Medicaid, legal, and other sensitive information.