New Client Paperwork
If you would like to use our secure form to complete your new patient paperwork electronically, please click on this link.
If you are a new patient this is the only set of forms you need to complete
New Client Paperwork (Electronic Form)
If you would like to print the new client paperwork and complete the pages manually, please click the link below to download new patient paperwork.
Please print the pages, complete them and then FAX a signed copy to our secure FAX at 678-606-9316.
New Client Paperwork (Manual)
The following forms are for existing patients that need to update their information. Do not complete these forms if you are a new patient and have already completed the forms on new patient paperwork link.
Telemental Health Release
If you are planning to use our secure Telemental Health option for treatment, please complete the Telemental Health consent form using our secure form. Please click on this link.
Telemental Health Consent (Electronic Form)
If you would like to print the Telemental Health paperwork and complete the pages manually, please click the link below to download new patient paperwork.
Please print the pages, complete them and then FAX a signed copy to our secure FAX at 678-606-9316.
Telemental Health Consent (Manual)
Financial Agreement Form
If you just want to update your financial agreement using our secure form, please click on this link.
Financial Agreement Update (Electronic Form)
COVID-19 Release
If you are planning to attend a face to face/in-office session, and have not already completed a COVID-19 release, then please complete the COVID-19 release form using our secure form. Please click on this link.
COVID-19 Release (Electronic Form)
HIPAA Release
If you want to allow your therapist to communicate with someone about your treatment, and want to complete the release using our secure form, please click on this link.
Release of Information (Electronic Form)
If you want to allow your therapist to communicate with someone about your treatment manually, please complete the following release of information form and then FAX a signed copy to our secure FAX at 678-606-9316.
Release of Information (Manual)
Consent to Treat and HIPAA Policies
Please review the Consent to Treat and HIPAA policies below.
Consent to Treat Policy
Contact Information Update
If you are an existing patient and need to update your contact information, please complete this form:
Counseling Services of Atlanta Contact Information Update Form
Insurance Information Update
If you are an existing patient and need to update your insurance information, please complete this form:
Counseling Services of Atlanta Insurance Information Update Form