770-602-1979
drdavidclark@bellsouth.net

Forms-Evaluations

Satellite sites are available in Conyers, Covington, Decatur, Snellville, and Tucker, Georgia

1: Domestic/Family Violence Screening: Use this form if the courts/probation have said you need to attend a Family Violence Intervention Program. Victim is usually a spouse, girlfriend, boyfriend, child or parent.

2. Anger Management/Relationship Screening: Use this form if the courts/probation marked “anger management” and the victim is a spouse, girlfriend, boyfriend, child or parent.

3. Anger Management Evaluation: Use this form if the victim is a stranger, neighbor, police officer, co-worker.

4. Alcohol and Drug Evaluation: Use this form if the courts/probation/attorney said you need either a alcohol or drug evaluation. This form needs to be completed and then submitted online.

5. Alcohol and Drug Evaluation: Use this form if you wish to print it out and fill it out by hand.

6. Clinical Evaluation Contract: Please read and consent online using this form.

https://docs.google.com/forms/d/e/1FAIpQLSfTHfst-nYXTwpmnxJpKrvDa9JcfE5OvkDv6OYhR3uRg3YY1w/viewform?usp=sf_link

You will need the Adobe Acrobat Reader to view these forms:

Directions

Click here for directions to the centers.