Clinical Checklists/Rating Scales
 (download these if your clinician requests them.
    Use the back arrow to return to this page after viewing and printing:   
 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 
       email them to [email protected] or FAX them to (770) 393-1885.  

You may download and review our HIPPA notice below. 
Use back arrow to return to this page after viewing and printing.
 Thank you   

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
©  R. Slayden, M.D.
Atlanta Area Family Psychiatry Clinic, P.C.
Psychiatric and psychotherapeutic care for adults, children, adolescents and families 
Since 1977

Dr. Iwanicki's Checklists and Forms
                                                    click on icon at front of description

 UPDATE: July 24, 2023 - PLEASE NOTE: We have now transitioned to our new software, Luminello. This is a significant change in the way we interact with our patients as far as billing/making payments and for some of our providers, setting appointments. 
We will now use your portal account to charge your credit card at the time of each appointment.
If you haven't set up your portal already, ask your clinician for an e-mail invitation from Luminello to create your patient portal account and then set up your portal account and enter your credit card informationPayPal is a BACKUP ONLY.

Your portal is also where you will go to download and print receipts/superbills for any charges starting 6/16/2023. 
Please discuss any questions with your provider. You will receive email billing notices from Luminello to use them to file for insurance or tax purposes. 
We are no longer using the "Blue Bills."
Our old software, Wisdom, will be deactivated by them in December. If you need a printout for transactions prior to 6/16/2023 call the office before December and request one.
Note: In compliance with the federal “No Surprises Act”, we list our most frequent fees (effective 1/1/2022)
 Please call the office with any questions (770) 393-1880
A 16-37 min appointment (scheduled as 25 min), $210 
A 38-52 min appointment (scheduled as 45 min), $300.  
A 53 to 68 min (scheduled as 60 min), $360. 
Coding time ranges are per the CPT manual. 
Prescriptions filled outside of an appointment, $25 so notify me of your refill needs in your appointment. 
Expedited prescriptions are $45.