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ADOLESCENT SERVICES

PARENTING SERVICES

PSYCHOLOGICAL TESTING & ASSESSMENT

POLICIES & PROCEDURES

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195 WEST PIKE STREET, STE 207

LAWRENCEVILLE, GA  30046

2078 TERON TRACE, STE. 250

DACULA, GA 30019

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ADOLESCENT INTAKE FORM

This form provides relevant information about your adolescent and the reasons for seeking therapy.  This information will be discussed during your initial session.  Please print and complete this form.  Bring the completed form with you to your initial appointment if the appointment is for therapy or testing with a child or adolescent.   

ADULT INTAKE FORM

This form provides relevant information about you and the reasons for seeking therapy.  This information will be discussed during your initial session.  Please print and complete this form.  Bring the completed form with you to your initial appointment for therapy or testing if the appointment is for an adult.

COUPLES AGREEMENT FORM

This form provides relevant information about you, your relationship with your partner, and the reasons for seeking therapy.  This information will be discussed during your initial session. Please print and complete this form.  Bring the completed form with you to your initial appointment for couple’s therapy.

THERAPY INFORMED CONSENT 

This form provides information about what to expect in therapy, confidentiality, and the overall operation of our services. Please print and read this form.  If you have questions about this information, you may discuss them during your appointment.  Signing of this form indicates consent for participation in therapy, and an agreement to the policies and procedures of SBS Psychological Associates, Inc.

TESTING CONSENT FORM

This form explains the testing polices and procedures of SBS Psychological Associates.  Please print, and read this form.  If you have questions about this information, you may discuss them during your appointment.  Signing of this form indicates consent for testing, and an agreement to the testing policies and procedures of SBS Psychological Associates, Inc.

RELEASE OF INFORMATION FORM

This form gives Dr. Boone-Sanford permission to communicate on your behalf with the indicated individual or agency. Print and complete this form if you would like Dr. Boone-Sanford to share information or receive information from another individual or agency.  Bring the completed form to your appointment.

If you have questions or need additional assistance about the completion of any of the above forms, contact the office at 678-205-0838.