New Client Forms (complete online)

*Please complete prior to first/initial appointment

Consent to Treatment Form

Telemental Health Authorization Form

Georgia Notice Form

Intake Summary/Demographic Sheet

COVID-19 Waiver (for in-person appointments)

Credit Card Authorization Form

New Client Forms (PDF)

*If you prefer hard copies of our forms, click on each link below to download and complete for the initial appointment.
Consent to Treatment Form

Telemental Health Authorization Form

Georgia Notice Form

Intake Summary

Credit Card Authorization Form

COVID-19 Waiver (for in-person appointments)

Medical Records Release

Paper copies of the forms can be faxed to (404)891-6467.

You may also mail forms to the following address:

Georgia Psychological Treatment Center 1640 Powers Ferry Road, Building 20, Suite 200 Marietta, GA 30067

General Forms

Family Collateral Consent Form

Medical Records Release Form