Substance Abuse Templates

This type of document is an integrated relapse prevention plan for individuals with co-occurring disorders in the state of Minnesota. It includes strategies and resources to help prevent relapse and maintain recovery for individuals with mental health and substance use disorders.

This document is used for applying for the Drunk Driving Enforcement Fund in the state of New Jersey.

This form is used for reporting unusual incidents in narcotic treatment programs in Pennsylvania.

This form is used for documenting the progress of substance abuse treatment groups in Washington.

This document is used for making decisions regarding the termination of substance abuse treatment in the Substance Abuse Recovery Unit in the state of Washington.

This Form is used for creating a contract addressing substance use disorder behavioral treatment in the state of Washington. It outlines the terms and responsibilities for individuals seeking treatment.

This Form is used for Substance Use Disorder Treatment Group Activities in Washington. It is a 12-week intensive day treatment program that takes place 4 days per week.

This form is used for conducting a Substance Use Disorder Assessment in the state of Washington. It is necessary for individuals seeking treatment for substance abuse to provide accurate information about their history and current situation. The assessment helps professionals determine the appropriate level of care and treatment options for each individual.

This form is used for verifying out-of-state substance abuse evaluation or treatment in Iowa.

This form is used for recording the results of chemical abuse testing in the state of Oklahoma. It helps to track and document any instances of chemical abuse and ensure compliance with the state's regulations.

This form is used for obtaining informed consent from pregnant individuals with opioid/opiate use disorder in Texas who are seeking treatment.

This form is used for reporting incidents that occur at substance abuse treatment facilities in Texas. It helps track and document incidents, ensuring appropriate actions are taken to maintain the safety and well-being of the facility's residents.

This form is used for applying for a license to operate a chemical dependency treatment facility in the state of Texas. It must be completed and submitted to the appropriate regulatory agency for review and approval.

This document provides guidance and information for completing the Collaborative Systems of Care (Csoc) Quarterly Reporting for Wisconsin.

This form is used for applying for registration under the Narcotic Addict Treatment Act of 1974.

This form is used for applying for a license to operate a facility or service that provides mental health, substance abuse, or personal support services in Tennessee.

This form is used for referring individuals in Ohio to a Substance Abuse Professional (SAP) for assessment and treatment related to substance abuse.

This document is used for referring an employee who is not present due to substance abuse issues in the state of Ohio.

This document outlines the plan of care for individuals seeking addiction and recovery services in Nevada under the Comprehensive Addiction and Recovery Act (CARA).

This document is used for issuing a judgment and order for involuntary substance use disorder treatment in Kentucky, either for a period of 60 or 360 days.

This document is a mandatory treatment questionnaire used in the state of New Mexico.

This form is used for reporting substance use disorder in the state of Nevada. It helps individuals provide information about their own substance abuse for assessment and treatment purposes.

This document is used for certifying substance abuse treatment providers in the state of Oklahoma. It ensures that the treatment providers meet the necessary standards and qualifications to provide effective and safe treatment for individuals struggling with substance abuse.

This form is used for referring individuals to the Medicaid Health Home program in South Dakota.

This document is for applying for the Child Care Assistance Program (CCAP) in Rhode Island.

This document is a certification statement required by the Drug-Free Workplace Act in South Carolina. It confirms that a company or organization is in compliance with the Act's requirements for maintaining a drug-free workplace.

This form is used to apply for a loan for a group home in Nebraska that provides support for individuals recovering from substance abuse.

This form is used for releasing confidential information from the Substance Abuse Recovery Unit Compound in Washington. It is available in both English and Spanish.

This form is used for the Substance Abuse Recovery Unit compound in Washington to release confidential information.

This form is used for documenting substance use disorder requirements for individuals receiving assistance through the Abd/Pwa program in Washington. It is important for individuals to complete this form accurately to ensure they meet the necessary requirements for continued assistance.

This document discusses the response of the Trump Administration to the Opioids Crisis. It provides information on the actions taken to address the crisis and combat the opioid epidemic in the United States.

This form is used by agencies in Alabama to request naloxone, a medication that can reverse opioid overdoses.

This document is a mandatory report form used in Connecticut to report impaired practitioners. It is used to ensure the safety and well-being of patients by addressing concerns related to the impairment of healthcare practitioners.