Client Forms

These forms need to be completed before your first session. Please feel free to click on the links below, print the forms, and fill them out. Don’t forget to bring them with you to our first session together. Or if you prefer, you can arrive 30 minutes prior to your first appointment to complete the forms. In this case, please let me know so I can arrange to leave the paperwork for you. Feel free to contact me if you have any questions about the forms.

Informed Consent

Telemental Health Informed Consent

HIPAA Notice of Privacy Practices

Client Information Form

Payment Form



drannemariejeffries@gmail.com
404-620-3149

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