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Please click on the image above and complete the form, please print and sign and bring to next visit or email to your therapist at [email protected].  

Click on the image above to download the form to complete and submit to your therapist at [email protected]. Please complete and submit prior to your first visit.

Click on the image above to download a copy of the contract for therapeutic services. Please read carefully and complete all designated areas with initials and signatures and bring to your first visit.  

Click on the image above to download the form to complete and submit to your therapist at [email protected]. Please complete and submit prior to your first visit

HIPAA Forms

Click on the link to the right to download a copy of the HIPAA Notice and Privacy Practices.

Office Information

Peacemaker Solutions, LLC

Address

Peacemaker Solutions, LLC

P.O. Box 2656

Acworth, GA 30102

Hours

Mon-Fri: 9:00 am - 6:00 pm

(Evenings and Weekends Available by Appt.)

Sat: 9:00 am 2:00 pm

Sun: Closed

Contact

(678) 582-1469

Fax: (770) 212-2210

[email protected]

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