Rachel Anne Kieran, Psy.D.
To schedule an initial consultation, please e-mail [email protected],
or call (404) 695-1100.
FORMS
General Paperwork - all clients - click here!
Insurance Information Sheet - only if billing insurance as out of network
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.
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
- www.thetrevorproject.org
- 1-866-488-7386
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
- Can provide therapist referrals.
- http://www.gapsychology.com/
Poly-Friendly Professionals
- Searchable resource list of therapists, physicians, lawyers, and other professionals in the US and abroad.
- http://www.polychromatic.com/pfp/main.php
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
- Searchable resource list of therapists, physicians, lawyers, and other professionals in the US and abroad.
- http://openingup.net/open-list/
2801 Buford Highway
Suite T-10
Atlanta, GA 30329
(404) 695-1100
© Rachel Anne Kieran, Psy.D. 2012