New Client Forms
If you're a new client, please complete the following forms and bring them to your first therapy session.
Current Client Forms
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
Note: To download Adobe Acrobat Reader for free, click here.
Maxim Wellness Center
1500 Klondike Road
Conyers, GA 30094