Important Forms:
January 28, 2009
Download any form you need—most are available online, including the form for Employment Applications. If you know of a form you need, but that form has not been posted, please, contact our office during regular business hours at (620) 231-5130.
All of the files are Adobe .PDF—users will need the free Adobe Acrobat Reader to view the files.
Click here for the H2011 In-Home Family Treatment Forms for Associate Providers
(Word and .PDF files).
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Please mail the application for employment to: Human Resources - App. for Employment |
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Authorization for the Use and Disclosure of Protected Information (Release of Information) |
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Consent for Treatment and Agreement to Pay |
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Consumer Rights, Complaint Procedure, Confidentiality, Responsibility, Rules & Regulations |
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Notice of Privacy Practices |
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Intake Summary |
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Treatment Plan |
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Treatment Plan: Additional Goals Page |