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Services Offered:
Grief Therapy
Couples Therapy
Sex Therapy
Family Therapy
Teens and Family
Cognitive Behavioral
Slimworks(R)
Slimworks(R)

Psychological Problems:
ADHD
Anxiety Disorders
Depression
Eating Disorders
Post-Traumatic Stress
Children and Divorce
Substance Abuse

Coaching:
Academic Excellence
Dissertation/Thesis

Healthy Body, Healthy Mind for Kids and Teens:
Management Program
Behavior & Health
Patient Forms

Below are the patient medical, release, and insurance forms. Please open the required form, fill / type in the information, print, then bring the completed forms to the next office visit.

bullet Release of Information (PDF)
bullet Patient Information (PDF)
bulletHIPAA Notice (PDF)

 

Download Acrobat Reader Free

Please bring the completed forms to your first office visit.

 

                        

© 2004-06 Powers Ferry Psychological Associates, LLC
1827 Powers Ferry Rd. Bldg 22, Ste. 200 / Atlanta, Ga. 30339 / 770-953-4744
Web Design: www.nuevodesign.com / Last edited: 04/07/2009