Please fill out the online forms here below. If you haven’t scheduled your appointment yet, give us a call at (678) 554-5632 to set an appointment (either at Dr. Z’s office or online via telehealth) or send us the appointment request form, which you will find here on the website. Group therapy attendees must fill out the Group Therapy Registration form prior to joining a group. Information about fees and policies is available here.
If you are a new individual client and have already made an appointment, please fill out the following TWO forms. Both forms are required of all individual clients. Please call (678) 554-5632 if you have any questions. Dr. Z will not be able to see you unless these two forms are completed ahead of your first session.
1 – Personal Information – The Personal Information form is required of all individual clients and provides information needed for an initial assessment of the client’s symptoms and needs, as well as for later communication and billing purposes. This form is required of all new individual clients.
2 – Informed Consent Form – The Informed Consent form includes our policies and procedures as well as details on the privacy and confidentiality safeguards that apply to all therapy sessions in accordance with state law. This form is required of all new individual clients.
If you are a new client couple and have already made an appointment, please fill out the following THREE forms. ALL THREE forms are required of both individuals in the couple. Please call (678) 554-5632 if you have any questions. Dr. Z will not be able to see either one of you unless these 3 forms are completed ahead of your first session.
1 – Personal Information – The Personal Information form is required of each partner and provides information needed for an initial assessment of symptoms and needs, as well as for later communication and billing purposes. This form is required of all new couple clients.
2 – Informed Consent Form – The Informed Consent form includes our policies and procedures as well as details on the privacy and confidentiality safeguards that apply to all therapy sessions in accordance with state law. This form is required of all new couple clients.
3 – Brief Individual Relationship History – The Brief Relationship History is required of all couples (one for each person) and provides basic information on the couple’s relationship history. This form is required of all new couple clients.
If you are a family and have already made an appointment, please fill out the following TWO forms. BOTH forms are required of each individual in the family who will be attending the meeting. Please call (678) 554-5632 if you have any questions. Dr. Z will not be able to see the family unless these 2 forms are completed ahead of the session by each participant.
1 – Personal Information – The Personal Information form is required of all individual clients and provides information needed for an initial assessment of the client’s symptoms and needs, as well as for later communication and billing purposes. This form is required of all individual family members who will be attending the session(s).
2 – Informed Consent Form – The Informed Consent form includes our policies and procedures as well as details on the privacy and confidentiality safeguards that apply to all therapy sessions in accordance with state law. This form is required of all individuals in the family who will be attending the session(s).
If you’ve registered and have been approved for participation in a therapy group with Dr. Z, please fill out the following TWO forms. BOTH forms are required of each individual who will be attending the group meetings. Please call (678) 554-5632 if you have any questions. Dr. Z will not be able to accept participation unless these 2 forms are completed ahead of the session by each attendee. No exceptions.
1 – Personal Information – The Personal Information form is required of all individual clients and provides information needed for an initial assessment of the client’s symptoms and needs, as well as for later communication and billing purposes. This form is required of all new group attendees.
2 – Group Informed Consent Form – The Group Informed Consent form includes our policies and procedures as well as details on the privacy and confidentiality safeguards that apply to all group therapy sessions in accordance with state law. This form is required of all new group attendees.