Forms

In order to save time and dedicate as much time as possible to your session, please print and complete the following forms PRIOR to your initial appointment.

Informed Consent

Financial Agreement

Demographic Intake

HIPAA Notice

Let's begin your journey. Call or email me to schedule a free 15-minute consultation.

3754 Lavista Rd., Suite 200

Tucker, GA 30084

Email: info@dswdiversity.com

678-463-8247

Now seeing Saturday clients from 1:00 - 5:00.

© 2020 DSW Diversity Consulting LLC

Your health and safety is my primary concern. During the COVID-19 outbreak, all sessions will be conducted through video telehealth.