Forms

New Patients

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

New Patient Information
Outpatient Service Contract
 

If you are a patient 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
 

ADHD Side Effecy Checklist
ADHD Symptom Checklist
Consent For Release of Information
Consent for Email Communication
Georgia HIPAA Notice

 

 

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