New Patients:
These forms MUST be completed and delivered to your provider prior to the date of your first appointment. Click the link above to download this PDF file, print it out and complete all pages
You may download and review our HIPPA notice below.
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Atlanta Area Family Psychiatry Clinic, P.C.
7000 Peachtree Dunwoody Rd, Building 16 Suite 100 ~ Sandy Springs, GA 30328
Telephone (770) 393-1880 ~ Facsimile (770) 393-1885
Atlanta Area Family Psychiatry Clinic, P.C.
Psychiatric and psychotherapeutic care for adults, children, adolescents and families
Since 1977
ADDITIONAL FORMS and MATERIALS
Dr. Iwanicki's Checklists and Forms
click on icon at front of description