Basic Information and authorization form

Please click on the image above and complete the form, please print and sign and bring to next visit or email to your therapist at [email protected].  

Detailed Adult Client Information Form

Click on the image above to download the form to complete and submit to your therapist at [email protected]. Please complete and submit prior to your first visit.

Notice of Informed Consent

Click on the image above to download a copy of the contract for therapeutic services. Please read carefully and complete all designated areas with initials and signatures and bring to your first visit.  

Child/Adolescent Client Information Form

Click on the image above to download the form to complete and submit to your therapist at [email protected]. Please complete and submit prior to your first visit

HIPAA Forms

Click on the link to the right to download a copy of the HIPAA Notice and Privacy Practices.

Address

Peacemaker Solutions, LLC

P.O. Box 2656

Acworth, GA 30102

Hours

Mon-Fri: 9:00 am - 6:00 pm

(Evenings and Weekends Available by Appt.)

Sat: 9:00 am 2:00 pm

Sun: Closed

Contact

(678) 582-1469

Fax: (770) 212-2210

[email protected]

Social