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Please Click here for Frequently Asked Questions

Instructions for Completing Forms your initial appointment. Please print out and complete the necessary forms. Remember to bring the completed forms to your initial appointment. They are to be signed, dated and witnessed at the time of your initial appointment.
  • Adult Intake Form

  • Privacy of Health Records Form (HIPPA)

  • Consent to Treatment Form


  • If you are the parent or legal guardian of a child or adolescent (age 5- 17) who will be a client of Dr. Susan Hughes May & Associates, Inc. please click, print, and complete these forms:
  • Child and Adolescent Intake Form

  • Privacy of Health Records Form (HIPPA)

  • Consent to Treatment Form

  • Teacher's Academy Survey


  • (If your child has been experiencing school or learning challenges please have your child’s teacher complete this form and bring it with you to the initial appointment.)

    If you have any questions about completing the forms, please contact our administrative staff at (678) 674-1200 and they will be glad to help you.
    Adult Client Intake Form (Download PDF)
    Child and Adolescent Intake Form (Download PDF)
    Privacy of Health Records (HIPPA) Form (Download PDF)
    Consent to Treatment Form (Download PDF)
    Teacher's Academic Survey (Download (PDF)
     
     
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