Forms and Consent

Prior to your first appointment, I request that you complete a short Intake Form, read and sign a Consent for Treatment, and read and sign the Atlanta Center for Couple Therapy HIPAA Notice, all of which will remain in your confidential file.

Please download, print, and complete these forms before you arrive. 

INTAKE FORM

CONSENT FOR TREATMENT

TOOLS & TIPS FOR SUCCESSFUL TELEHEALTH SESSIONS (Unnecessary to print)

HIPAA NOTICE (Only need signature on page 3)

Please contact Dr. Graham at (404) 325-8900 with any questions or concerns.