This is a legal form that was released by the Ohio Board of Nursing - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the purpose of Form 12 Substance Abuse Treatment Program Report?
A: The purpose of Form 12 is to provide a report on the aftercare progress of individuals enrolled in a substance abusetreatment program in Ohio.
Q: Who needs to fill out Form 12?
A: Form 12 is filled out by the substance abuse treatment program in Ohio for each individual enrolled in their program.
Q: What information is included in Form 12?
A: Form 12 includes information about the individual's participation in aftercare services, goals and progress, relapse prevention efforts, and any referrals or recommendations made.
Q: When should Form 12 be completed?
A: Form 12 should be completed periodically, as determined by the treatment program. Generally, it is completed every 90 days during the aftercare phase.
Q: Are there any fees associated with submitting Form 12?
A: There may be fees associated with submitting Form 12, depending on the requirements of the overseeing agency or organization. It is best to check with them for any applicable fees.
Q: What happens after Form 12 is submitted?
A: After Form 12 is submitted, the overseeing agency or organization reviews the report to assess the individual's progress and compliance with the aftercare program.
Q: Can Form 12 be used as proof of completion of a substance abuse treatment program?
A: No, Form 12 is not intended to serve as proof of completion of a substance abuse treatment program. It mainly provides progress and aftercare information.
Form Details:
Download a printable version of Form 12 by clicking the link below or browse more documents and templates provided by the Ohio Board of Nursing.