New Client

Please fill out the online forms here below.
If you haven’t scheduled your appointment yet,
please feel free to request an appointment using the online form,
or call my office at (678) 554-5632. I look forward to working with you!

Individual Client (2 forms)

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. I 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.


Couples (3 forms for each person)

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. I 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 all couples (one for each person) and provides all the information needed for an initial assessment of the couple's 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 is required of all couples (one for each person) and 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 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.