Forms

Pathway to Hope Counseling Services, Inc. is available to our clients and to our referral sources whenever “you” need us.

If you are a DFCS referral source, please submit a Service Authorization for the referred service and submit it to contactus@pathwaytohopecounseling.com. Someone will respond to you within 24 hours.

We offer an array of services, and if the client is insured through Medicaid Care Source, Amerigroup, or Peach State, we offer this service at no cost to the referral source or to the client.

Fill out the Medicaid Referral form for a child or an adult and submit it to us via email at, contactus@pathwaytohopecounseling.com Someone will respond to your inquiry within 24 hours.

Should you want assistance from any of the PTH staff, please call us at (229) 249-7730.