New Client

Please fill out the online forms here below.
I look forward to meeting you at our first session. If you haven’t scheduled your appointment yet,
please feel free to request an appointment using the online form,
or call my office at (678) 554-5632.

If you are being seen at the office, please review the  Office Safety Precautions—COVID-19.

Individual Client (2 forms)

If you are a new client and have already made an appointment please fill out the following  TWO forms. They are required of all individual clients. Please call (678) 554-5632 if you have any questions.

Dr. Z will not be able to see you unless these two forms are completed ahead of your first session.

1 – Personal Information  – The Personal Information form is required of all individual clients and provides all the information needed for a thorough initial assessment of the client’s symptoms and needs, as well as for later communication and billing purposes. This form is required of all new clients.
2 – Informed Consent Form – The Informed Consent form is required of all individual clients and includes our policies and procedures as well as details on the  privacy and confidentiality safeguards that apply to all therapy sessions in accordance with state law.  This form is required of all new clients.


Couples (3 forms each person)

If you are a new client couple and have already made an appointment please fill out the following THREE forms. They are required of both individuals in the couple. Please call (678) 554-5632 if you have any questions.

Dr. Z will not be able to see either one of you unless the first two forms are completed ahead of your first session.

1 – Personal Information  – The Personal Information form is required of all couples (one for each person) and provides all the information needed for a thorough initial assessment of the client’s symptoms and needs, as well as for later communication and billing purposes. This form is required of all new clients.
2 – Informed Consent Form – The Informed Consent form is required of all couples (one for each person) and includes our policies and procedures as well as details on the  privacy and confidentiality safeguards that apply to all therapy sessions in accordance with state law. This form is required of all new clients. 
3 – Brief Relationship History - The Brief Relationship History is required of all couples (one for each person) and provides basic information on the couple's relationship history.