Patient Forms

Please select and complete the forms below that apply to you. For greater ease, our forms can be completed online through our secure site by selecting the first link. Should you prefer, PDF forms can also be downloaded by using the second link, printed and faxed to us at 912-489-1630.

Online forms should be completed on a desktop computer, laptop, or workstation.

Appointment Forms

New Patient Registration Online Form | PDF Form
Registration Update Online Form | PDF Form
Psychotherapy Registration Online Form | PDF Form
Psychotherapy Appointment Policy Online Form | PDF Form
Psychotherapy Goals Online Form | PDF Form
TMS Patient Registration Online Form | PDF Form
Authorization to Release Records Online Form | PDF Form
HIPAA Notice of Privacy Practices Online Form | PDF Form
Patient Privacy Form Online Form | PDF Form
Consent for Treatment Online Form | PDF Form
Child and Adolescent Booklet

Insurance & Billing

Credit Card Authorization Form Online Form | PDF Form
Insurance Form Online Form | PDF Form
Medicare Benefit Waiver Online Form | PDF Form
Medicaid Benefit Waiver Online Form | PDF Form
Tricare Benefit Waiver Online Form | PDF Form

Rating Scales

Child ADHD Rating Online Form | PDF Form
Adult ADHD Rating Online Form | PDF Form
Vanderbilt ADHD Parent Rating Scale PDF Form
Vanderbilt ADHD Teacher Rating Scale PDF Form
Content of Schemas Online Form | PDF Form
PHQ-9 Online Form | PDF Form
GAD-7 Anxiety Scale Online Form | PDF Form
TASS Online Form | PDF Form