Before Your Visit
Patient Forms & Registration
Complete your paperwork before your first appointment to make the most of your evaluation time. All forms are available for download below.
Before Your Visit
Completing your forms in advance helps us prepare for your appointment and ensures we have the information needed to provide the best care possible.
Select the appropriate packet below based on the patient's age and the type of appointment.
Fill out every section as thoroughly as possible. Incomplete forms may delay your evaluation.
Fax completed forms to (912) 244-6500 or bring them with you on the day of your appointment.
Downloadable documents
Patient Forms
Adult Registration Forms
Adults 18+For adult patients (18 and older) scheduling a neuropsychological evaluation or behavioral sleep medicine consultation. Includes medical history, consent, and intake information.
Child Registration Forms
Under 18For patients under 18. Includes pediatric and adolescent intake, parental consent, developmental history, and school information sections.
Therapy Intake Forms
Therapy patientsFor patients beginning therapy or counseling services. Includes consent, intake history, and treatment goals.
Self-Pay Fee Schedule
Self-pay / out-of-networkOur out-of-pocket fee schedule for patients who are self-pay or using out-of-network benefits.
Fax completed forms to (912) 244-6500
Questions? Call us at (912) 349-4055
Common questions
Frequently Asked Questions
Insurance & Fees
See our accepted insurance plans
We accept a wide range of insurance carriers. View the full list on our Contact page and reach out to verify your coverage before your appointment.
Questions Before Your Appointment?
Our team is happy to help you prepare. Reach out by phone or use our contact form.