Welcome to Agape Mental Health Center.

To request an appointment:
call us at (931) 676-7249
or
email ena.ceres@agapementalcenter.com

At your first appointment with our office, you will need to complete a few New Client Intake Forms.

To save time on the day of your appointment, you may download the 4 forms below to print and complete ahead of time:

Personal Details

Health History

HIPAA Acknowledgement

Check In Questionnaire


Your Information. Your Rights. Our Responsibilities.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
The Notice of Privacy Practices does not need to be printed or brought into the office. This is for your own reference.

HIPAA Notice of Privacy Practices