Keystone Counseling Center
Forms

Downloading and filling out the following forms and bringing them to your first appointment will save you about 20-30 minutes. You will still need to sign a few other forms.

 

ADULTS

Adult Form


CHILDREN AND ADOLESCENTS (UNDER 18)
ALL
forms for clients under the age of 18 MUST be completed by the custodial parent or legal guardian. This includes forms in the OTHER FORMS section of this page.
The custodial parent or legal guardian must be present for the initial appointment.
Call our office at 770-474-8400 if you have any questions.

Child/Adol Form


PATIENT INFORMATION FORM - ALL NEW CLIENTS

Patient Information Form


OTHER FORMS - for review
We prefer these forms to be signed in the office at the initial visit. They are provided here to give you the opportunity to review them.

Policy & Privacy

Health Insurance Claim Form





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