Adult and Child New Patient

Screener Forms

We appreciate that you are considering us to be part of your healthcare team.

Our New Patient Screener is for anyone new to our services at Anxiety Specialists of Atlanta or anyone returning to renew services after at least a one (1) year gap of being seen by someone on our team. The screener should only take a few minutes to complete.

The safety and security of your information, even before you become a patient with us, is of the utmost importance. This is why we have developed a new screening system IntakeQ, a software company that aims to empower practices with innovative, user-friendly software that simplifies operations, improves client communication, and ultimately enhances the patient experience, all while maintaining the highest levels of patient healthcare information security.

If you have any questions before filling out the screener, please contact our Practice Manager at admin@anxietyatl.com or call us at 678–825–2320.

This screening process is in response to the high volume of requests we get for new patient appointments. We believe this briefer screener will increase our efficiency and accuracy in determining whether our clinic is an appropriate fit for your needs. We will do our best to match you with a therapist whose background and availability address the information you provide. If we are unable to do so, we will do our best to provide you with appropriate referral resources.

If you or a family member are interested in becoming a new patient with us, please click either the Child Screener button for someone under the age of 18, or the Adult Screener button for someone over the age of 18. Once you click the button, you’ll be taken to a new window that asks you to enter your name along with a method of communication (email or text). This offers you in our team the most secure method of sharing your information.