CLICK HERE FOR: VALANT CLIENT PORTAL
To Make an Appointment
Intake Form
All prospective patients must first fill out and submit the proper “Intake Form“. in order to be contacted within 24 to 48 hours for scheduling of an appointment.
If you do not have computer access or if you prefer, you may call (334) 262-7787 and Dial “1” to reach our intake coordinator who will assist in gathering your information.
If you would like to see a specific counselor from our staff, please request on the intake form.
Once we receive all of your information, our Clinical Director will review and assign a counselor with whom to schedule your appointment, taking into consideration your need and your health insurance status.
Eligible individuals without insurance coverage are seen regardless of ability to pay and are assigned a sliding scale fee based on documented gross income. Gross income can be verified by one or more of the following: pay stub, bank statement, income tax return, copy of alimony or child support check, statement of Social Security Benefits or unemployment check.
Forms for Your First Visit
All new clients should read the “Informed Consent” and the “Privacy Practices” prior to their first visit. You can also find these in your portal.
You will be assigned through your portal different questionnaires you MUST complete before your first appointment. If this is not possible please let the front office know to get other accommodations.
CLICK HERE FOR: VALANT CLIENT PORTAL
PLEASE BRING A LIST OF CURRENT MEDICATIONS (dosage and prescriber)
In addition, the client should bring a photo ID and Insurance Card or military ID (when applicable).