Please complete the following three forms if you are in need of a substance abuse evaluation that did not involve a DUI. If your charge does involve a DUI, please jump to our DUI Evaluation page. Once you complete all forms, please contact us at (770) 594-5317 to schedule your evaluation.

HIPPA Notice of Privacy Practices: This form explains your rights & responsibilities as a client, as well as explains the limits of confidentiality. You must complete this form stating you have read and understood its contents.

Consent for the Release of Information: Please complete this form and provide us with your probation officer’s information. If you are not on probation, please provide us with the contact information of whomever referred you: i.e. attorney, pre-trial officer, employer, employee assistance program, military, etc. If you do not provide us with a signed consent form, we cannot send your referral source an evaluation or even communicate with them that you came to us. If you would like your evaluation sent to multiple sources, please complete this form multiple times, once for each source.