We also offer phone and video sessions, as well as Virtual EMDR!.................................... Mobile device users click the three lines to the right for more options.

New Client Paperwork

New Client Paperwork

If you would like to use our secure form to complete your new patient paperwork electronically, please click on this link.
New Client Paperwork (Electronic Form)

If you would like to print the new client paperwork and complete the pages manually, please click the links 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)

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)

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

HIPAA Policy