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Patient Forms

Welcome to the Stevens Clinic! We look forward to getting to know you. And we are eager to provide you & your family with first quality, compassionate psychiatric care.

As there is always a certain amount of paperwork required to start treatment, we have made it possible for you to download the necessary forms below. Just click on the link for New Patient Information Forms - then print it off, fill it out and return it to us by mail (P.O. Box 1927 Dalton, GA 30722), fax (706-226-1483) or in person. We will also need a copy of your insurance card if you desire us to bill insurance. Our Privacy Policy is included below as a separate link. If you want us to communicate with anyone regarding your confidential care, a link is also provided for our Release of Information Form.

Thank you again for choosing us for your mental health care. 

The Stevens Clinic


405 S. Thornton Avenue
P.O. Box 1927
Dalton, Georgia 30722


Phone: 706-226-1146
Fax: 706-226-1483