NOTICE * NOTICE * NOTICE * NOTICE

• INTAKES MUST be complete within 48 hours of residents arrival

• DISCHARGE MUST be complete within 24 hours of residents departure

Forms

• New Patient Behavioral Health Intake Packet

• Re-Entry Court Movement Sheet

• Warning of Non-Compliance

  • Sample Form

• Medication Log​

• Emergency Medical (Print)

• Release of Information

  • Sample Form

• Promissory Note​

  • Sample Form

• Meeting Sheets

  • For Print

• Sign In/Out Sheets​

  • For Print

• Case Notes​

• Photo Taker

• Supply List

• Confidentiality Agreement

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

• Budget Form

• Promissory Note

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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.

• Donation Receipt

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• Resume Worksheet​

• Training Tools

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Donations

Workforce Development