Atlanta Psychological Services
  • Sign In
  • Create Account
  • My Account

  • Signed in as:

  • filler@godaddy.com

  • My Account

  • Sign out

  • Home
  • Services & Fees
    • Assessment & Evaluation
    • Psychotherapy & Treatment
    • Service Fees
    • Articles & Resources
    • Telemental Health
  • Our Team
    • Clinicians
    • Dr. Todd George
    • Dr. Andrew Gothard
    • Dr. Susan Hay
    • Administrative Team
  • Contact Us
    • General Contact
    • DFCS Referrals
    • Feedback Form
  • Forms
    • Forms
    • Download & Print Forms
    • Feedback Form
    • Good Faith Est Notice
  • Training
    • Training
    • Post-Doc
    • Practicum
  • More
    • Home
    • Services & Fees
      • Assessment & Evaluation
      • Psychotherapy & Treatment
      • Service Fees
      • Articles & Resources
      • Telemental Health
    • Our Team
      • Clinicians
      • Dr. Todd George
      • Dr. Andrew Gothard
      • Dr. Susan Hay
      • Administrative Team
    • Contact Us
      • General Contact
      • DFCS Referrals
      • Feedback Form
    • Forms
      • Forms
      • Download & Print Forms
      • Feedback Form
      • Good Faith Est Notice
    • Training
      • Training
      • Post-Doc
      • Practicum
Atlanta Psychological Services

Signed in as:

filler@godaddy.com

  • Home
  • Services & Fees
    • Assessment & Evaluation
    • Psychotherapy & Treatment
    • Service Fees
    • Articles & Resources
    • Telemental Health
  • Our Team
    • Clinicians
    • Dr. Todd George
    • Dr. Andrew Gothard
    • Dr. Susan Hay
    • Administrative Team
  • Contact Us
    • General Contact
    • DFCS Referrals
    • Feedback Form
  • Forms
    • Forms
    • Download & Print Forms
    • Feedback Form
    • Good Faith Est Notice
  • Training
    • Training
    • Post-Doc
    • Practicum

Account

  • My Account

  • Sign out

  • Sign In
  • My Account

PATIENT FORMS FOR DOWNLOAD

The following forms are for downloading and printing. 

Health History Form - Adult - rev 5-4-2021 (pdf)Download
Health History Form - Child - rev 5-4-2021 (pdf)Download
INTAKE FORMS (all included) rev 11-25-2021 (pdf)Download

Privacy Statements for Download

Social Media Policy - rev 9-1-20 (pdf)Download
Good Faith Estimate - NOTIFICATION 01-01-2022 (pdf)Download

For downloading files from our site, you may need to have Adobe Acrobat Reader.

Click Here For Adobe Reader
  • Home
  • Telemental Health
  • Clinicians
  • Administrative Team
  • Feedback Form
  • HIPAA Privacy Notice
  • Good Faith Est Notice
  • Privacy Policy
  • Cookies Statement
  • LGBTQ+ Resources

Atlanta Psychological Services

2308 Perimeter Park Drive, Atlanta, Georgia 30341, United States

770-457-5577

Info@AtlantaPsychological.com

Powered by

This website uses cookies.

We use cookies to analyze website traffic and improve your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

DeclineAccept