Client Forms
Please complete the appropriate forms prior to your first appointment. Submitting forms in advance helps us serve you better and ensures your session starts on time. If you have any questions about which forms to complete, please call our office at 770-383-2754.
New Client Forms
All new clients are required to complete the following forms before their first session.
- ✓Client Intake FormGeneral information, contact details, and reason for seeking services.
- ✓Consent for TreatmentAuthorization to receive counseling and mental health services.
- ✓Notice of Privacy Practices (HIPAA)Explains how your health information is used and protected.
- ✓Financial AgreementOutlines fees, insurance billing, and payment responsibilities.
- ✓Release of InformationAuthorizes us to share information with other providers or parties you designate.
Minor Client Forms
Additional forms required when services are being provided to a minor (under 18).
- ✓Parental Consent for Minor TreatmentRequired signature from parent or legal guardian authorizing treatment.
- ✓Minor Client Intake FormBackground information specific to the minor client.
For your convenience, completed forms may be brought to your first appointment or submitted via our secure contact form above. Please do not email sensitive personal health information.
Request Forms or Ask a Question
Need forms emailed to you, or have a question before your appointment? Fill out the form below and our office will respond within one business day.