Forms

New Patients

Adult patients please complete the following forms and bring them to your first appointment.

New Patient Information
Office Policy
HIPAA Form

If you are a parent or guardian bringing your child for an evaluation please complete the following forms and bring them to the first appointment.

New Patient Information
Outpatient Service Contract
Child and Adolescent History Form

Other Forms

Consent for Telemedicine
ADHD Side Effect Checklist
ADHD Symptom Checklist
Consent For Release of Information
Consent for Email Communication
Georgia HIPAA Notice
Appointment Reminders Authorization

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