DUI School, DDC Classes & Victim Impact Panel Pre-Registration Form
Road to Recovery, Inc.  All rights reserved; 1995-2019
Schedules are subject to change without notice
* Required field
Your full name:
Phone number:
Select class
DUI Class (Atlanta only)
DDC Class (Atlanta only)
Victim Impact Panel (All locations)
Please select
the location
of your
Atlanta Clinic
East Point Clinic
Marietta Clinic
Sandy Springs Clinic
Use this box to ask us specific questions or make a comment:
IMPORTANT INFORMATION: This is a pre-registration form. To complete your registration process for DUI School, you
will need to complete a NEEDS Assessment. The NEEDS assessment is a 130-question, comprehensive, adult
assessment tool. This instrument addresses life stress, attitude and emotional stability, criminal history and alcohol
/drug use based on DSM-IV and ASAM guidelines.
You will need to schedule an appointment at least 24 hours prior
to the start of your class.
The NEEDS Assessment takes 45-60 minutes to complete.

There is no assessment component for DDC or Victim Impact Panel; however, you must complete all requirements at
least 1 hour prior to the start of your scheduled class. If you need additional information
please contact us.
"A journey of a thousand miles starts with the first step"