Welcome new client!

I look forward to meeting you in person at our first session. If you haven’t scheduled your appointment yet, please feel free to click the blue button to request an appointment using the online form, or call my office at (678) 554-5632. For questions about psychotherapy, please review  these frequently asked questions. If you have a question about my fees or policies, please review this inffeespolicies-drz.htmlormation.

Schedule an appointment

Counseling and psychotherapy new client forms

If you are a new client and have already made an appointment for counseling, psychotherapy, hypnotherapy, or EMDR please download, print and fill out the following 4 forms and bring them with you to your first session. Please call (678) 554-5632 if you have any questions.

1 – Informed Consent Form – The Informed Consent form is required of all clients (for 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.

2 – Personal Information Form – The Personal Information form is required of all clients (for couples, one for each person) and provides all the information needed for a thorough initial assessment of the client’s symptoms and needs, as well as for later communication and billing purposes.

3 – HIPAA Notice of Privacy Practices – The Notice of Privacy Practices describes how we use your health records and what your rights and our responsibilities are regarding these health records.

4 – Credit Card Authorization Form – The Credit Card Authorization form is required of all clients (for couples, minors or families, responsible party only) and provides us with the necessary billing information.

Print for your records

HIPAA Notice of Privacy Practices – The Notice of Privacy Practices describes how we use your health records and what your rights and our responsibilities are regarding these health records. Please print an extra copy of this form for your records.

Insurance information

Dr. Z does not accept insurance and is an out-of-network provider. Questions to ask your insurance company about out-of-network coverage
Can I use my healthcare insurance for couples counseling?  The short answer is: only with a diagnosis.