GPS Clinical Solutions, LLC
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    • Dr. Eubanks Smith
    • GPS Clinical Team
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    • Psychotherapy & Evaluation
    • Wellness Counseling
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  • Contact Us
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  • Home
  • About
    • Dr. Eubanks Smith
    • GPS Clinical Team
  • Services
    • Psychotherapy & Evaluation
    • Wellness Counseling
    • FAQ
  • Referrals
  • Contact Us
  • Client Feedback
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YOUR CART

For  Assessment & Evaluation: Online Evaluation Referral Form 
Click here to  Download it and complete via fax 


For Psychotherapy and/or Wellness Counseling : Online Counseling Intake Form 

Please note that while we use a secure server for all forms, all electronic communication has the risk of breach. Please feel free to download paper forms and submit via fax to 443-863-6262. Your use of our online forms includes your permission to use electronic comunication and your understanding of its risks. 

For a detailed explanation of services, please download our brochure: 
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