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Matters from Staff Agenda Item #5Board of County Commissioners Staff Report Meeting Date: July 17, 2018, Submitting Dept: Court Supervised Treatment ProgramPresenter: Ansatz Raven Subject: FY19 Substance
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How to fill out substance abuse treatment contract

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To fill out a substance abuse treatment contract, follow these steps:
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Start by reading the contract thoroughly to understand its terms and conditions.
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Gather all relevant information such as personal details, medical history, and insurance information.
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Ensure you have consent from the individual seeking treatment or their legal guardian, if applicable.
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Fill in the necessary fields, including name, address, contact information, and emergency contact details.
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Provide accurate information regarding the type of substance abuse treatment being sought, such as inpatient or outpatient treatment.
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Indicate any preferences or special requirements, such as specific therapy approaches or accommodations needed.
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Verify and input insurance information, including policy number and coverage details.
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Review the contract once completed to ensure all information is accurate and legible.
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Sign and date the contract, and have any required witnesses or parties sign it as well.
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Make a copy of the signed contract for your records and provide a copy to all involved parties.
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Consider seeking legal advice or consulting with a professional if you have any concerns or questions about the contract.
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Who needs substance abuse treatment contract?

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A substance abuse treatment contract may be necessary for:
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- Individuals voluntarily seeking substance abuse treatment
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- Court-ordered individuals required to complete a treatment program
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- Parents or legal guardians seeking treatment on behalf of a minor
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- Substance abuse treatment facilities and providers
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- Insurance companies and healthcare providers involved in covering treatment costs
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