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For non specialty homes
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Parolees
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Domestic Violence/Sex Trafficking
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Self Pay
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184 Clients
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305 Clients
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317 Clients
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Sliding Fee Schedule Worksheet
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For Step Out home ONLY!
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This is ONLY for residents that may need a lease agreement due to an outside source of payment.
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Forms
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DVST Project
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Meeting Sheets
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Sign In/Out Sheets
Health Plan of Nevada (HPN) Long Term & Safe Beds ONLY!!!
NOTE: These forms are ONLY to be used for residents that are utilizing a HPN bed. If you are unsure if your clients is from HPN PLEASE reach out to Lisa!
Summit Behavioral Health (SBH) Long Term & Safe Beds ONLY!!!
NOTE: These forms are ONLY to be used for residents that are utilizing a SBH bed. If you are unsure if your clients is from SBH PLEASE reach out to Lisa!
Service Fees
If your resident is in arrears on their service fees, they will typically receive an email from the accounting department and will be required to complete the following form. A copy of the form will be forwarded to the House Manager and you will be asked to monitor the clients financial obligation
Donation receipts allow Life Changes to track the value of community support and provides a tax deduction for the donor. The information on this form allows administrative staff access to the required information for documentation.