Release of Information Form

This form authorizes Playtime Therapy of Georgia to communicate and exchange relevant information with other professionals involved in your or your family member's care, treatment, education, or support. Collaboration can help promote consistency, improve communication, and support the client's overall well-being.

Form updated 11/04/2026

Playtime Therapy of Georgia, LLC by Ashley S. Lingerfelt

Location: 1700 River Park Blvd, Suite 101, Woodstock, GA 30188

Email: ashley@playtimetherapy.org 
Phone: (470) 869-0208

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