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Vendor Forms

Name of Document Effective Date
Authorization to Release Confidential Information - Drug or Alcohol Abuse Programs 10/01/2022 Download this form
Authorization to Release Confidential Information - Mental Health Treament Programs 10/01/2022 Download this form
Chain of Custody Form is no longer in use. Please use Urinalysis Testing Log 12/31/2026 Download this form
Monitoring Report (Revised 9/22) 10/01/2022 Download this form
Monthly Sign In Log 10/01/2023 Download this form
Monthly Testcup Inventory Report.pdf 10/01/2019 Download this form
PROB 11B - Authorization to Release Confidential Information - Drug Abuse Programs.pdf 10/01/2022 Download this form
PROB 11I - Authorization to Release Confidential Information - Mental Health Treatment Programs.pdf 10/01/2022 Download this form
Treatment Plan for Mental Health Treatment (Project Codes 6010, 6015, 6028) 10/01/2022 Download this form
Treatment Plan for Post-Conviction Sex Offender Treatment (Project Codes 6012, 6022 ) 10/01/2022 Download this form
Treatment Plan for Pretrial Defendants Charged with a Sex-Offense (Project Codes 7013, 7023) 10/01/2022 Download this form
Treatment Plan for Substance Use Treatment (Project Codes 2010, 2020, 2021, 2030) 10/01/2022 Download this form
Urinalysis Testing Log 10/01/2022 Download this form