The use of the Internet or this form for communication with John R. Paddock, Ph.D., ABPP, LLC does not establish a
psychologist-patient relationship. Confidential or time-sensitive information should not be sent through this form.

Brookwood Exchange Building
1708 Peachtree ST NW Suite 400
Atlanta, GA  30309-7022

Office Telephone: 404-874-3498

Office Fax: 404-874-8305

John R. Paddock, Ph.D:

While the HIPAA Security Rule does not expressly prohibit the use of email for sending electronic PHI, know that your PHI may or may not be protected.


Downloadable Forms

Please download, print, and complete each of these forms prior to your first appointment.

1. HIPAA Practice Policy

Editable   Printable

2. New Patient Form 2016

Editable   Printable

3. Psychotherapy Relationship Informational Questionnaire

Editable   Printable

4. Email Consent Form

Editable   Printable

5. HIPAA Informed Consent

Editable   Printable

6. Informed Consent for Telepsychology

Editable   Printable

*Please do not submit this information via email. Instead, bring it with you to your appointment.