Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:

Note: To download Adobe Acrobat Reader for free, Click here.

CONTACT US

We hope to see you soon

  • Decatur Location

    1 West Court Square,
    Suite 750, 7th Floor,
    Decatur, GA 30030

  • Suwanee Location

    1325 Satellite Blvd.,
    Bldg 1000, Suite 1002,
    Suwanee, GA 30024

  • Tucker Location

    2302 Parklake Drive 4th Floor,
    Suite 425,
    Atlanta, GA 30345

  • Stone Mountain Location

    5485 Five Forks Trickum Rd.,
    Stone Mountain, GA 30087

  • Main Location

    One West Court Square,
    Suite 750, 7th Floor,
    Decatur, Georgia 30030-2538

!
!
!

Please do not submit any Protected Health Information (PHI).