Common Contracts

Attachments

January 27th, 2009

• Filed
  January 27th, 2009

Attachment Name Requirement Attachment 1 DH 1120 Computer Use and Confidentiality Agreement A version is required Check with local area Attachment 2 DH 3204 Initiation of Services A version is requiredCheck with local area Attachment 3 Notice of Privacy Practices A version is required Check with local area Attachment 4 DH 3203 Authorization toDisclose Confidential Information A version is required Check with local area Attachment 5 DH 2116 Consent to Fax Not Required Check with local area Attachment 6 Brief Intake/Enrollment Screening A version is required Check with local area Attachment 7 Comprehensive Needs Assessment A version is required Check with local area Attachment 8 Comprehensive Service Plan A version is requiredCheck with local area Attachment 9 Case Closure Form A version is required Check with local area Attachment 10 Client Rights andResponsibilities A version is requiredCheck with local area Attachment 11 Rights, Responsibilities and Grievance A version is required Che