Forms

Our office uses a HIPAA compliant paperless and communication system. Once you have scheduled your initial appointment, please click here to be taken to our electronic health record (Valant) system and use the log-in credentials (validation code) you were provided either when booking your appointment, or via email immediately after booking your appointment. If you do not receive an email with your log in credentials, please check your spam/junk folder to ensure that the email did not get redirected.  

It is very important that you complete your paperwork at least 24 hours prior to your first session as completing all forms prior to your session will ensure timely appointments. Appointments with no paperwork completed are at risk of being canceled or rescheduled as we cannot begin to work with you without necessary documentation.  You may click the links below to be taken to our paperwork. Once you complete and select submit, the document will be electronically sent to us. You may also save a copy for your personal records. Please do not send any paperwork, forms, or documents to us via email.

NEW CLIENTS-
Click here to access our Client Intake Paperwork, Tele-mental Health Informed Consent, and Financial Agreement

**If for some reason you are unable to access the above link, you may click here to complete a PDF version of the client intake paperwork.** This PDF form must be opened and completed in Adobe (not Google Chrome) in order to be electronically submitted to our office. Be sure to select submit at the end of the document to ensure that we receive it. You may also save a copy for your personal records. 


EXISTING CLIENTS-
Click here if you need to update your already existing Financial Agreement.
Click here if you need to update your already existing Telemental Health Informed Consent
Click here if you need to complete a new Release of Information 

If you are experiencing difficulty completing any of the PDF forms, be sure to open them in Adobe Acrobat Reader (not Google Chrome). If you do not have Adobe, you may download it for free by clicking here.

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Copyright New Vision Counseling Center LLC* All rights reserved.
8303B Office Park Drive,  Douglasville, GA 30134
Office: 678-838-8333 * Fax: 678-838-8444
[email protected]
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"Offering A New Vision To Meet Your Life's Destiny"