• HOME
  • Services
    • Substance Use
    • Mental Health
    • Domestic Violence
    • Community Outreach
    • Professional Development
    • Special Populations
  • Contact

Helping Professionals Wellness Center

  • HOME
  • Services
    • Substance Use
    • Mental Health
    • Domestic Violence
    • Community Outreach
    • Professional Development
    • Special Populations
  • Contact
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FORMS


SUD FORMS

DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure-Adult
Privacy Notification and Complaint Procedure
Symptomology Checklist
Documentation Notification
Health Pre-Assement
At Risk Survey For Aids
Tuberculosis Screening Questionnaire
Legal Notifications
Certified Chemical Dependency & Mental Health Treatment Services For Clark County
Clinician Disclosure

 MH FORMS

DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure-Adult
Consent to Receive Behavioral Health Services
Tuberculosis Screening Questionaire
Pre-Assessment Health Information
Documentation Notification
Legal Notifications
Certified Chemical Dependency & Mental Health Treatment Services For Clark County
Clinician Disclosure

DVIT FORMS

DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure-Adult
DVIT-Initial Contact Checklist
Privacy Notification and Complaint Procedure
Patient Rights
Patient Grievance Notice
DVIT Client Questionnaire
CLIENT DVIT Counselor Disclosure
CONSENT TO RELEASE CONFIDENTIAL INFORMATION
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