Our new patient information sheet may be filled out at our office but is also available for download from our website in PDF format.  Please click on the link below to download and print the form.  If you have any trouble downloading the form, right-click on the link and select “Save Target As…”

New Patient Information Sheet

About PDF Format Documents

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The completed form can be faxed back to our office at: 770-414-5958

2300 Henderson Mill Road

Suite 411

Atlanta, GA  30345

Phone: 770-414-5957

Fax: 770-414-5958


Counseling Services Associates, Inc.