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The Outreach Form is designed to collect information about your organization’s outreach activities related to the DHS-funded women’s recovery case management grant, including recruitment efforts
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How to fill out DHS Women’s Recovery Services Outreach Form

01
Begin with your personal information: fill out your name, address, and contact details.
02
Specify the type of services you are interested in from the options provided.
03
Indicate your current situation and any relevant background information.
04
Provide details regarding your specific needs and goals related to recovery.
05
If applicable, mention any previous engagement with recovery services or programs.
06
Review the form for completion and accuracy before submission.
07
Submit the form as directed (online, mail, or in-person).

Who needs DHS Women’s Recovery Services Outreach Form?

01
Women who are seeking support and services for recovery from substance use disorders.
02
Individuals involved in community support programs for women in recovery.
03
Service providers looking to connect women with recovery resources.
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The DHS Women’s Recovery Services Outreach Form is a document used to collect information about women seeking recovery services and to assess their eligibility for various support programs.
Individuals who are seeking recovery services related to substance abuse and require assistance or access to support programs provided by the Department of Human Services (DHS) are required to file this form.
To fill out the DHS Women’s Recovery Services Outreach Form, individuals should provide accurate personal information, including demographics, contact details, and any pertinent health history. It's important to follow the instructions on the form and ensure all necessary sections are completed.
The purpose of the DHS Women’s Recovery Services Outreach Form is to identify and assist women in need of recovery services, facilitate access to treatment programs, and gather data to improve outreach and program effectiveness.
The form must report personal information such as the individual's name, contact information, age, demographic details, substance use history, and any related health conditions or needs for services.
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