Rachel Anne Kieran, Psy.D. - Licensed Psychologist, Atlanta, GA
To schedule an initial consultation, please e-mail rkieranpsyd@gmail.com,
or call (404) 695-1100.
FORMS

I look forward to the opportunity to work with you.

On this page are links to forms that you will be required to complete in order to begin receiving services. Please review them prior to our scheduled appointment.

Some of the these documents need to be filled out by you, others simply need a signature, and some are for your information only. Please fill them out and bring them with you to your appointment.

Please be advised that I cannot act as your therapist until your consent for treatment has been signed by myself, you, and/or any person authorized to sign on your behalf (e.g. power of attorney, legal guardian).

Please feel free to e-mail or call if you have any questions or concerns. 

General Paperwork - most clients

Special Circumstances Paperwork

RESOURCES

For Psychological Emergencies:
*** If you are in danger,
please call 9-1-1 IMMEDIATELY ***

Behavioral Health Link

National Hopeline Network
  • 1-800-SUICIDE
  • 1-800-784-2433

The Trevor Project - Crisis intervention and suicide prevention for LGBTQ Youth

Grady Health - Outpatient Behavioral Health
  • 10 Park Place NE, Atlanta, GA 30303
  • Monday - Friday 8 a.m. to 4:30 p.m
  • 404-616-4444
______________________

Georgia Psychological Association

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Poly-Friendly Professionals 

Kink-Aware Professionals
  • Searchable resource list of therapists, physicians, lawyers, businesses, wedding officiants and other professionals in the US and abroad.
  • https://ncsfreedom.org/resources/

The Open List


2801 Buford Highway
Suite T-10
Atlanta, GA 30329

rkieranpsyd@gmail.com
(404) 695-1100

© Rachel Anne Kieran, Psy.D. 2012



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