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Telephone Recovery Support Consent Please Print Clearly Name: Date of birth: / / Phone: () Referred by: County: Email: Current housing: Sober House Halfway House Other Telephone Recovery Support calls
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How to fill out telephone recovery support consent

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How to fill out telephone recovery support consent

01
Step 1: Start by obtaining the telephone recovery support consent form from the relevant organization or healthcare provider.
02
Step 2: Carefully read the instructions, terms, and conditions mentioned in the form.
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Step 3: Fill in your personal details such as your name, contact number, address, and any other information requested.
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Step 4: Review and understand the purpose and benefits of telephone recovery support.
05
Step 5: Provide your consent by signing and dating the form.
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Step 6: If applicable, provide any additional required information or documentation.
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Step 7: Keep a copy of the filled-out form for your records.
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Step 8: Submit the completed form to the designated person, department, or organization as instructed.

Who needs telephone recovery support consent?

01
Any individual who is seeking telephone recovery support can benefit from filling out the telephone recovery support consent form.
02
People who are struggling with substance abuse or addiction and require telephone support to aid their recovery process should consider filling out this form.
03
Family members or caregivers who wish to engage in telephone support for their loved ones' recovery may also need to fill out this consent form.
04
Medical professionals, counselors, or organizations providing telephone recovery support services may require individuals to complete this form to ensure legal compliance and protect the privacy of all parties involved.
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