Road to Recovery, Inc.  All rights reserved; 1995-2012
"A journey of a thousand miles starts with the first step"  
Your call is
important to us
After Hours
770-990-3271
Toll Free
1-866-950-5601
For a confidential clinical evaluation appointment;
please, complete and submit this form.
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Your name:
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Email:
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Telephone:
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Referral Source:
Subject:
Select one of the following:
Substance Related Disorder Evaluations
DUI Offender Clinical Evaluations
DUI/DWI Out of State Evaluations
Domestic Violence Evaluations
Anger Management Evaluations
Mental Health/Psychosocial Clinical
Evaluations
For your convenience, select the clinic closest to you:
DeKalb County Clinic
Gwinnett County Clinic
Fulton County Clinic
Clayton County Clinic
Cobb County Clinic
Hall County Clinic
Preferred day of the week
Monday -----------------------------------------------------
Tuesday ----------------------------------------------------
Wednesday -----------------------------------------------
Thursday  --------------------------------------------------
Friday  ------------------------------------------------------
Saturday  ---------------------------------------------------
Preferred times of the day
Morning                                (10:00AM to 2:00PM)
Afternoon                               (2:00PM to 6:00PM)
Questions, comments, or feedback:
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