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6/23/2014 10:46 AM <dir> _vti_cnf
3/23/2017 8:22 AM 147215 Access to Behavioral Health Care Log - 2-10-17.docx
5/23/2011 12:55 PM 1745920 ACTIVITY - Activity Planning Checklist.dot
5/27/2014 3:25 PM 1843200 ACTIVITY - Informed Consent for Activities (Adults).doc
5/27/2014 3:30 PM 1845248 ACTIVITY - Informed Consent for Activities (Minors).doc
8/28/2018 7:44 AM 201372 ACTIVITY - Specialized Transport - High Risk Activity Request - 9-1-18.docx
5/18/2011 3:11 PM 1848320 ADULT - Referral for Psychological (Adult).dot
7/30/2014 7:22 AM <dir> CASE MANAGEMENT - Course Descriptions
11/22/2011 9:28 AM 1861632 EMERGENCY - After Hours Emergency Service Billing Form.dot
5/1/2013 9:20 AM 183066 HOUSING - Consent to Release Information (housing) - 5-1-13.docx
3/7/2013 10:20 AM 17864 INFECTION CONTROL - Accident-Exposure Incident Contacts - 7-1-12.pdf
5/24/2011 9:44 AM 1872384 INFECTION CONTROL - Annual TB Questionnaire for Past Reactions.dot
12/26/2012 9:50 AM 1852928 INFECTION CONTROL - Infectious Disease Screening Instrument.dot
12/21/2012 3:09 PM 1840128 INFECTION CONTROL - Staff Hepatitis Vaccination Voucher.doc
7/23/2013 8:36 AM 747996 INFECTION CONTROL - Staff Hepatitis Vaccination Waiver.pdf
3/7/2013 10:27 AM 23196 INFECTION CONTROL - TB Exposure Risk Category Determination 12-17-12.pdf
12/26/2012 9:44 AM 1838592 INFECTION CONTROL - TB Test Voucher for Staff -12-17-12.doc
1/9/2013 11:58 AM 19676 INFECTION CONTROL - TB Testing Acknowledgement and Release of Information (for clients).pdf
6/20/2016 10:10 AM 91637 INTAKE - Client Rights Statement - 3-31-16.pdf
6/1/2011 10:12 AM 1855488 INTAKE - Medical History.doc
6/6/2011 3:17 PM 90112 INTAKE - Medication Management Letter.doc
10/5/2020 11:17 AM 983509 INTAKE - Washington County Schools 2020.pdf
7/6/2011 9:30 AM 1828864 LIABILITY - Death Review Synopsis.doc
4/25/2016 8:46 AM 47309 MEDICAID - Advance Directive Brochure.pdf
6/1/2011 12:05 PM 31322 MEDICAID - Advance Directive Form.pdf
4/8/2009 1:16 PM 60984 MEDICAID - Advance Directive Instructions.pdf
9/5/2017 2:53 PM 192104 MEDICAID - Mileage Reimbursement - Revised 9-5-17.docx
5/24/2011 11:49 AM 1862144 MEDICAL - Informed Consent for Psychotropic Medication-English.dot
5/24/2011 11:51 AM 1821184 MEDICAL - Med Release Info Primary Doc-Print Form.doc
5/24/2011 11:52 AM 1826816 MEDICAL - Med Release Info Primary Doc-Template.doc
10/26/2016 11:43 AM 187203 MEDICAL - Naloxone Voucher.docx
5/24/2011 11:54 AM 1884672 NEW FRONTIERS FOR FAMILIES - SWC Referral Form.doc
5/24/2011 12:34 PM 891392 PEER REVIEW - Adult Mental Health Peer Review.doc
5/24/2011 12:24 PM 887808 PEER REVIEW - AOD Peer Review.dot
5/24/2011 12:34 PM 889344 PEER REVIEW - Youth Mental Health Peer Review.doc
5/15/2019 9:28 AM 27812 PERSONNEL - Standards of Conduct.pdf
5/24/2011 12:36 PM 1822208 REACH ORIENTATION - Autobiography Work Sheet.doc
5/24/2011 12:37 PM 1829376 REACH ORIENTATION - Client Agreement with Treatment Requirements.doc
5/24/2011 12:37 PM 1824768 REACH ORIENTATION - Group Guidelines.doc
5/24/2011 12:38 PM 1839104 REACH ORIENTATION - Incident Reports and Essays.doc
5/24/2011 12:39 PM 1826816 REACH ORIENTATION - Measurable Outcome for Adolescent in Treatment.doc
5/24/2011 12:39 PM 1823744 REACH ORIENTATION - Parent Agreement.doc
3/28/2018 6:32 AM 186026 RECORDS - Clubhouse Reach Out Consent Form - 3-18.docx
8/2/2018 6:33 AM 1827328 RECORDS - Consent to Audio or Video Tape for Quality Improvement Purposes.doc
8/2/2018 6:30 AM 1825792 RECORDS - Consent to Audio or Videotape for Treatment Purposes.doc
7/2/2018 11:33 AM 83650 RECORDS - Consent to Release Information - 6-25-18.docx
5/13/2019 9:03 AM 15211 RECORDS - Consent toTelehealth Treatment - 5-13-19.pdf
5/24/2011 12:44 PM 1834496 RECORDS - Custodian of Record Certificate.dot
7/9/2012 11:32 AM 1826304 RECORDS - Employee Responsibility For Protecting Confidential Information in EHR.dot
10/29/2014 12:59 PM 109279 RECORDS - Notice of Provider Termination.docx
4/30/2018 10:50 AM 187864 RECORDS - Permission to Use Personal Information Release Form -4-18.docx
5/24/2011 12:49 PM 1862144 RECORDS - Revocation of Consent to Release Information.doc
6/5/2020 12:09 PM <dir> Spanish FORMS
5/24/2011 12:52 PM 2428416 SUBSTANCE ABUSE - CASSI Assessment.dot
5/24/2011 12:53 PM 1878528 SUBSTANCE ABUSE - Consent to Release Confidential Alcohol and Drug Treatment Information-Criminal Justice Referrals.dot
3/28/2012 10:22 AM 1875968 SUBSTANCE ABUSE - Consent to Release Confidential Alcohol and Drug Treatment Information-Non-Criminal Justice Referrals.dot
6/3/2013 10:20 AM 24636 SUBSTANCE ABUSE - Drug Testing Form.docx
5/24/2011 12:57 PM 1940480 SUBSTANCE ABUSE - Residential Programs Physical Exam and Client Health Questionnaire.doc
5/24/2011 12:58 PM 1912320 SUBSTANCE ABUSE - Substance Abuse Needs Assessment for Parents with Dependent Children.dot
5/24/2011 1:00 PM 1870848 SUBSTANCE ABUSE - Substance Use Inventory Form.dot
1/15/2020 7:59 AM 93593 SUBSTANCE ABUSE - SUD Client Demographic Information.docx
5/24/2011 1:02 PM 93696 TREATMENT - Outreach letter.doc
5/24/2011 1:03 PM 1844224 UTILIZATION REVIEW - UR Review Worksheet.dot
6/5/2020 8:22 AM 233284 YOUTH - ASAM Levels of Service.pdf
1/12/2015 9:51 AM 189870 YOUTH - MCOT Transportation Authorization - 1-15.dotx
6/8/2020 7:18 AM 189637 YOUTH - Referral for Psychological Evaluation - 6-20.docx
6/8/2020 4:53 AM 25814 YOUTH - SBMH Permission to Participate - English - 8-23-20.docx
5/24/2011 1:06 PM 1838080 YOUTH - Specialty Services Referral.dot
3/27/2020 8:14 AM 331742 YOUTH - Substance Abuse - A&D Evaluation Questionnaire.pdf
3/27/2020 8:36 AM 573173 YOUTH - Substance Abuse - SASSI (Client).pdf
3/27/2020 8:13 AM 165370 YOUTH - Substance Abuse - SASSI (Staff) - Male.pdf
3/27/2020 8:13 AM 161277 YOUTH - Substance Abuse - SASSI (Staff) - Female.pdf
6/5/2020 8:43 AM 739328 YOUTH - Youth Skills Assessment.doc