PATIENT FORMS


Here's how you can save time at your first appointment:

  1. Click here to read the HIPAA and Professional Service Agreement documents.
  2. Click here for Release of Information Form. (This is an optional form that does not have to be filled out for your first session.)
  3. After you have read these documents, please Click here and print out the Patient Information form, HIPAA agreement and Medical Release forms.
  4. Please sign these three forms and bring them with you to your first visit.

Thank you and we look forward to working with you soon


© 2004-06 Powers Ferry Psychological Associates, LLC

1827 Powers Ferry Rd. Bldg 22, Ste. 200
Atlanta, Ga. 30339
P: 770-953-4744
Fax: 770-953-4640

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