Please download and print this form if you are a new patient with private insurance or a PPO plan…

Please download and print this form if you have a child as patient covered by Medicaid or Peachcare or you are a First Placement/Best Placement or DFCS case manager…

Please download and print this form if your child is being considered for testing…

Note: Print and complete the Home Study and behavior checklist forms. The parent version is for the child’s parent(s), guardian(s), or other adult figures responsible for the child’s parenting. Please take the teacher version to your child’s teacher and have the teacher or teachers complete it.

Please download and print this form if your child requires testing for admission to Lakeview Academy.



Populations Served
Children, adolescents and adults are served through this practice. Work done with preschool children usually involves testing, consultation with parents, or a combination of the two procedures. Testing, as well as individual therapy, family therapy and consultations are available with older children, adolescents and adults.

Fees and Policies
Fees are adjusted from time to time, and are available on request. This practice participates with Medicare and Medicaid, as well as many major insurance plans and managed care companies. In most cases, co-payments are a part of the payment schedule and are expected at the time of service.