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Simulated Clinic Website: peachtreebehavioral.org

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https://www.peachtreebehavioral.org/patient-forms-and-intake
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Peachtree Behavioral & Psychiatry Associates

Outpatient Behavioral Health & TMS Clinics • Atlanta, GA • Accepting Medicare & Medicaid

Download Required Patient Registration & Medicare Forms

Please download and complete these PDF forms prior to your appointment at Peachtree Behavioral & Psychiatry Associates:

New Patient Behavioral Health & Medicaid Intake Form
File: Adult_Psychiatry_Intake_Packet.pdf
📄 Download Patient Form (Adult_Psychiatry_Intake_Packet.pdf)
Telehealth Informed Consent & Prescription Policy
File: Telehealth_Controlled_Sub_Agreement.pdf
📄 Download Patient Form (Telehealth_Controlled_Sub_Agreement.pdf)
HHS Sliding Fee Discount Schedule & Income Table
File: Sliding_Scale_Fee_Schedule_2026.pdf
📄 Download Patient Form (Sliding_Scale_Fee_Schedule_2026.pdf)