| Name | Size |
|---|---|
|
0-Credible-Clinical-Manual-with-addendums-A-G-Tx-Plan-Report.pdf
Credible Clinical Manual, with addendums A-G + Tx Plan Report.pdf application/pdfCredible Clinical Manual, with addendums A-G + Tx Plan Report.pdf Open Download Copy Link 5.87 MB 2025-10-21 October 21, 2025 2025-10-20 October 20, 2025 |
5.87 MB |
|
0_-Credible-Office-Manager-Workflow-9-2025.pdf
Credible Office Manager Manual, 2025.pdf application/pdfCredible Office Manager Manual, 2025.pdf Open Download Copy Link 6.3 MB 2025-09-16 September 16, 2025 2025-09-03 September 3, 2025 |
6.3 MB |
|
1-Administrative-Staff-Roles-Responsibilities.pdf
Administrative Staff- Roles & Responsibilities.pdf application/pdfAdministrative Staff- Roles & Responsibilities.pdf Open Download Copy Link 179.92 KB 2025-12-17 December 17, 2025 2025-12-16 December 16, 2025 |
179.92 KB |
|
30-90-Day-Follow-Up-Report-wout-Dx.pdf
application/pdf30-90-Day-Follow-Up-Report-wout-Dx.pdf Open Download Copy Link 14.43 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
14.43 KB |
|
30-Day-Follow-Up-Report.pdf
application/pdf30-Day-Follow-Up-Report.pdf Open Download Copy Link 15.09 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
15.09 KB |
|
Adult-Adolescent-Discharge-Survey.pdf
application/pdfAdult-Adolescent-Discharge-Survey.pdf Open Download Copy Link 15.35 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
15.35 KB |
|
Adult-Diagnostic-Interview.pdf
application/pdfAdult-Diagnostic-Interview.pdf Open Download Copy Link 55.83 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
55.83 KB |
|
Adult-Medication-Management-Assessment.pdf
application/pdfAdult-Medication-Management-Assessment.pdf Open Download Copy Link 54.61 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
54.61 KB |
|
Adult-Mental-Health-Assessment.pdf
application/pdfAdult-Mental-Health-Assessment.pdf Open Download Copy Link 55.53 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
55.53 KB |
|
Adult-Substance-Abuse-Evaluation.pdf
application/pdfAdult-Substance-Abuse-Evaluation.pdf Open Download Copy Link 83.3 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
83.3 KB |
|
AIMS_Form.pdf
application/pdfAIMS_Form.pdf Open Download Copy Link 17.08 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
17.08 KB |
|
BAM-30-Day-Instrument-11-2021.pdf
application/pdfBAM-30-Day-Instrument-11-2021.pdf Open Download Copy Link 574.27 KB 2021-12-16 December 16, 2021 2023-04-14 April 14, 2023 |
574.27 KB |
|
Billing-Sheet-7-2025.pdf
Billing Sheet, 7-2025.pdf application/pdfBilling Sheet, 7-2025.pdf Open Download Copy Link 102.32 KB 2025-07-03 July 3, 2025 2025-07-02 July 2, 2025 |
102.32 KB |
|
CAP-Assessment-Adult.pdf
application/pdfCAP-Assessment-Adult.pdf Open Download Copy Link 52.41 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
52.41 KB |
|
CAP-Assessment-Youth.pdf
application/pdfCAP-Assessment-Youth.pdf Open Download Copy Link 52.62 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
52.62 KB |
|
CASI.pdf
application/pdfCASI.pdf Open Download Copy Link 7.42 MB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
7.42 MB |
|
CEU-Form-as-of-7-1-2026.pdf
CEU Form as of 7-1-2026.pdf application/pdfCEU Form as of 7-1-2026.pdf Open Download Copy Link 32.47 KB 2026-07-13 July 13, 2026 2026-07-12 July 12, 2026 |
32.47 KB |
|
Child-Co-Occurring-Eval.pdf
application/pdfChild-Co-Occurring-Eval.pdf Open Download Copy Link 75.13 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
75.13 KB |
|
Child-Diagnostic-Interview.pdf
application/pdfChild-Diagnostic-Interview.pdf Open Download Copy Link 56.92 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
56.92 KB |
|
Child-Medication-Management-Assessment.pdf
application/pdfChild-Medication-Management-Assessment.pdf Open Download Copy Link 53.12 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
53.12 KB |
|
Child-Mental-Health-Assessment.pdf
application/pdfChild-Mental-Health-Assessment.pdf Open Download Copy Link 56.28 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
56.28 KB |
|
Child-Substance-Abuse-Evaluation.pdf
application/pdfChild-Substance-Abuse-Evaluation.pdf Open Download Copy Link 71.24 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
71.24 KB |
|
Clients-Rights-Agency-Policy-10-2021.pdf
application/pdfClients-Rights-Agency-Policy-10-2021.pdf Open Download Copy Link 129.32 KB 2021-11-01 November 1, 2021 2023-04-14 April 14, 2023 |
129.32 KB |
|
Clients-Rights-Agency-Policy-12-2018-SPANISH.pdf
application/pdfClients-Rights-Agency-Policy-12-2018-SPANISH.pdf Open Download Copy Link 36.57 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
36.57 KB |
|
Co-Occurring-Evaluation.pdf
application/pdfCo-Occurring-Evaluation.pdf Open Download Copy Link 83.61 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
83.61 KB |
|
Community-Support-Assessment.pdf
application/pdfCommunity-Support-Assessment.pdf Open Download Copy Link 43.62 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
43.62 KB |
|
Community_Support_Annual_Consumer_Report.pdf
application/pdfCommunity_Support_Annual_Consumer_Report.pdf Open Download Copy Link 16.12 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
16.12 KB |
|
Community_Support_Consumer_Crisis_Plan.pdf
application/pdfCommunity_Support_Consumer_Crisis_Plan.pdf Open Download Copy Link 13.82 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
13.82 KB |
|
Consent_for_Observation.pdf
application/pdfConsent_for_Observation.pdf Open Download Copy Link 7.61 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
7.61 KB |
|
Contact_Note.pdf
application/pdfContact_Note.pdf Open Download Copy Link 10.62 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
10.62 KB |
|
Contracted-Services-billing-form.pdf
Contracted Services billing form.pdf application/pdfContracted Services billing form.pdf Open Download Copy Link 17.9 KB 2023-10-17 October 17, 2023 2021-05-24 May 24, 2021 |
17.9 KB |
|
Crisis-Response-Form-3-1-2026.pdf
application/pdfCrisis-Response-Form-3-1-2026.pdf Open Download Copy Link 13.45 KB 2026-03-02 March 2, 2026 2026-03-01 March 1, 2026 |
13.45 KB |
|
Crisis_Log.pdf
application/pdfCrisis_Log.pdf Open Download Copy Link 9.67 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
9.67 KB |
|
CS-Flex-Funds-Reimbursement-Request-Form.pdf
application/pdfCS-Flex-Funds-Reimbursement-Request-Form.pdf Open Download Copy Link 650.25 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
650.25 KB |
|
CS-Mileage-Sheet-as-of-7-01-2023.pdf
CS Mileage Sheet as of 7-01-2023.pdf application/pdfCS Mileage Sheet as of 7-01-2023.pdf Open Download Copy Link 30.02 KB 2023-06-30 June 30, 2023 2023-06-29 June 29, 2023 |
30.02 KB |
|
CS-Referral-Form-2019.pdf
application/pdfCS-Referral-Form-2019.pdf Open Download Copy Link 32.2 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
32.2 KB |
|
Denial_of_patient_request_to_access_records.pdf
application/pdfDenial_of_patient_request_to_access_records.pdf Open Download Copy Link 40.82 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
40.82 KB |
|
Denial_of_pt__request_to_amend_records.pdf
application/pdfDenial_of_pt__request_to_amend_records.pdf Open Download Copy Link 41.83 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
41.83 KB |
|
Disclosure_Log.pdf
application/pdfDisclosure_Log.pdf Open Download Copy Link 12.09 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
12.09 KB |
|
EMDR_Consent.pdf
application/pdfEMDR_Consent.pdf Open Download Copy Link 14.29 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
14.29 KB |
|
Employee-Handbook-2025.pdf
Employee Handbook, 2025.pdf application/pdfEmployee Handbook, 2025.pdf Open Download Copy Link 533.72 KB 2025-09-13 September 13, 2025 2025-09-10 September 10, 2025 |
533.72 KB |
|
Fax-cover-sheet-PDF-2024-Geneva-removed.pdf
Fax cover sheet- PDF, 2024 (Geneva removed).pdf application/pdfFax cover sheet- PDF, 2024 (Geneva removed).pdf Open Download Copy Link 161.13 KB 2024-05-31 May 31, 2024 2024-05-30 May 30, 2024 |
161.13 KB |
|
Fax-cover-sheet-Word-doc-to-type-in-2024-Geneva-removed.docx
Fax cover sheet- Word doc to type in, 2024 (Geneva removed).docx application/vnd.openxmlformats-officedocument.wordprocessingml.documentFax cover sheet- Word doc to type in, 2024 (Geneva removed).docx Download Copy Link 49.57 KB 2024-05-31 May 31, 2024 2024-05-30 May 30, 2024 |
49.57 KB |
|
FC_Referral_Form_to_Community_Medical_Center.pdf
application/pdfFC_Referral_Form_to_Community_Medical_Center.pdf Open Download Copy Link 22.35 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
22.35 KB |
|
Financial-Policy-client-9-2025.pdf
Financial Policy (client), 9-2025.pdf application/pdfFinancial Policy (client), 9-2025.pdf Open Download Copy Link 376.88 KB 2025-09-03 September 3, 2025 2025-08-26 August 26, 2025 |
376.88 KB |
|
Financial-Policy-SPANISH-9-2025.pdf
Financial Policy (SPANISH) 9-2025.pdf application/pdfFinancial Policy (SPANISH) 9-2025.pdf Open Download Copy Link 17.12 KB 2025-09-03 September 3, 2025 2025-08-28 August 28, 2025 |
17.12 KB |
|
Full-Fee-Cheat-Sheet-eff-9-2025.pdf
Full Fee Cheat Sheet, eff 9-2025.pdf application/pdfFull Fee Cheat Sheet, eff 9-2025.pdf Open Download Copy Link 462.29 KB 2025-09-03 September 3, 2025 2025-09-02 September 2, 2025 |
462.29 KB |
|
Gambling-Intake-Data-Client-2026-2027.pdf
Gambling Intake Data (Client), 2026-2027.pdf application/pdfGambling Intake Data (Client), 2026-2027.pdf Open Download Copy Link 305.55 KB 2026-07-01 July 1, 2026 2026-06-30 June 30, 2026 |
305.55 KB |
|
Gambling-Intake-Data-Family-Member-2026-2027.pdf
Gambling Intake Data (Family Member), 2026-2027.pdf application/pdfGambling Intake Data (Family Member), 2026-2027.pdf Open Download Copy Link 170.61 KB 2026-07-01 July 1, 2026 2026-06-30 June 30, 2026 |
170.61 KB |
|
Grievance-Policy-11-2020-SPANISH.pdf
application/pdfGrievance-Policy-11-2020-SPANISH.pdf Open Download Copy Link 50.59 KB 2021-06-02 June 2, 2021 2023-04-14 April 14, 2023 |
50.59 KB |
|
Grievance-Policy-11-2020.pdf
application/pdfGrievance-Policy-11-2020.pdf Open Download Copy Link 5.11 KB 2021-06-02 June 2, 2021 2023-04-14 April 14, 2023 |
5.11 KB |
|
Group_Progress_Note.pdf
application/pdfGroup_Progress_Note.pdf Open Download Copy Link 40.77 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
40.77 KB |
|
Guest_speaker_agreement_form.pdf
application/pdfGuest_speaker_agreement_form.pdf Open Download Copy Link 11.1 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
11.1 KB |
|
Hardship_Form.pdf
application/pdfHardship_Form.pdf Open Download Copy Link 17.49 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
17.49 KB |
|
History_of_non-routine_disclosures_request.pdf
application/pdfHistory_of_non-routine_disclosures_request.pdf Open Download Copy Link 29.67 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
29.67 KB |
|
Incident-Report-Instructions-and-paper-form-if-needed-7-2025.pdf
Incident Report Instructions (and paper form if needed), 7-2025.pdf application/pdfIncident Report Instructions (and paper form if needed), 7-2025.pdf Open Download Copy Link 418.15 KB 2025-07-22 July 22, 2025 2025-07-21 July 21, 2025 |
418.15 KB |
|
Injectable_Order_Form.pdf
application/pdfInjectable_Order_Form.pdf Open Download Copy Link 34.21 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
34.21 KB |
|
Interpretive_services_agreement_form.pdf
application/pdfInterpretive_services_agreement_form.pdf Open Download Copy Link 42.79 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
42.79 KB |
|
IOP-OP-Agreement-Form-3-2019.pdf
application/pdfIOP-OP-Agreement-Form-3-2019.pdf Open Download Copy Link 45.33 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
45.33 KB |
|
IOP-OP_sign_in_sheet.pdf
application/pdfIOP-OP_sign_in_sheet.pdf Open Download Copy Link 9.09 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
9.09 KB |
|
JotPsych-Consent-12-2024.pdf
JotPsych Consent, 12-2024.pdf application/pdfJotPsych Consent, 12-2024.pdf Open Download Copy Link 100.06 KB 2024-12-23 December 23, 2024 2024-12-22 December 22, 2024 |
100.06 KB |
|
JotPsych-Consent-SPANISH-10-2025.pdf
JotPsych Consent (SPANISH), 10-2025.pdf application/pdfJotPsych Consent (SPANISH), 10-2025.pdf Open Download Copy Link 366.51 KB 2025-10-20 October 20, 2025 2025-10-15 October 15, 2025 |
366.51 KB |
|
Laboratory-Requisition-Form.pdf
application/pdfLaboratory-Requisition-Form.pdf Open Download Copy Link 13.35 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
13.35 KB |
|
Lincoln_CS_flex_funds.pdf
application/pdfLincoln_CS_flex_funds.pdf Open Download Copy Link 20.96 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
20.96 KB |
|
LPS-Mileage-Form-7-1-2026.pdf
LPS Mileage Form, 7-1-2026.pdf application/pdfLPS Mileage Form, 7-1-2026.pdf Open Download Copy Link 32.29 KB 2026-07-13 July 13, 2026 2026-07-12 July 12, 2026 |
32.29 KB |
|
Med-Contact-Note-5-2019.pdf
application/pdfMed-Contact-Note-5-2019.pdf Open Download Copy Link 87.05 KB 2022-08-23 August 23, 2022 2023-04-14 April 14, 2023 |
87.05 KB |
|
Med-Error-Note-8-2022.pdf
application/pdfMed-Error-Note-8-2022.pdf Open Download Copy Link 86.47 KB 2022-08-23 August 23, 2022 2023-04-14 April 14, 2023 |
86.47 KB |
|
Medication-Management-Progress-Note.pdf
application/pdfMedication-Management-Progress-Note.pdf Open Download Copy Link 43.6 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
43.6 KB |
|
Medication-Notice-SPANISH.pdf
application/pdfMedication-Notice-SPANISH.pdf Open Download Copy Link 288.17 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
288.17 KB |
|
Medication_Injection_Note.pdf
application/pdfMedication_Injection_Note.pdf Open Download Copy Link 27.91 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
27.91 KB |
|
Medication_Removed_for_Disposal_Form.pdf
application/pdfMedication_Removed_for_Disposal_Form.pdf Open Download Copy Link 16.17 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
16.17 KB |
|
MHB_Commit_90_d_wout_Dx.pdf
application/pdfMHB_Commit_90_d_wout_Dx.pdf Open Download Copy Link 21.82 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
21.82 KB |
|
Mileage-Sheet-as-of-7-1-2026.pdf
Mileage Sheet as of 7-1-2026.pdf application/pdfMileage Sheet as of 7-1-2026.pdf Open Download Copy Link 30.97 KB 2026-07-13 July 13, 2026 2026-07-12 July 12, 2026 |
30.97 KB |
|
MM-Appointment-Reminder-Card-7_2023.pdf
MM Appointment Reminder Card 7.2023.pdf application/pdfMM Appointment Reminder Card 7.2023.pdf Open Download Copy Link 120.48 KB 2023-11-03 November 3, 2023 2023-11-02 November 2, 2023 |
120.48 KB |
|
MM-Client-Distribution-Log-3-2022.pdf
application/pdfMM-Client-Distribution-Log-3-2022.pdf Open Download Copy Link 283.65 KB 2022-06-07 June 7, 2022 2023-04-14 April 14, 2023 |
283.65 KB |
|
MM-Consent-to-Give-Written-Prescriptions-to-Designee-3-2022.pdf
application/pdfMM-Consent-to-Give-Written-Prescriptions-to-Designee-3-2022.pdf Open Download Copy Link 99.62 KB 2022-06-07 June 7, 2022 2023-04-14 April 14, 2023 |
99.62 KB |
|
MM-Medication-Notice-6-2023.pdf
MM Medication Notice, 6-2023.pdf application/pdfMM Medication Notice, 6-2023.pdf Open Download Copy Link 288.7 KB 2023-06-27 June 27, 2023 2023-06-26 June 26, 2023 |
288.7 KB |
|
MM-Optional-Medication-Consent-Form-4-2022.pdf
application/pdfMM-Optional-Medication-Consent-Form-4-2022.pdf Open Download Copy Link 271.54 KB 2022-06-07 June 7, 2022 2023-04-14 April 14, 2023 |
271.54 KB |
|
MM_Symptom_Evaluation_Form.pdf
application/pdfMM_Symptom_Evaluation_Form.pdf Open Download Copy Link 14.47 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
14.47 KB |
|
MSPQ-Medicare-Secondary-Payor-Questionnaire.pdf
application/pdfMSPQ-Medicare-Secondary-Payor-Questionnaire.pdf Open Download Copy Link 604.27 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
604.27 KB |
|
NDBH-Consent-SPANISH.pdf
application/pdfNDBH-Consent-SPANISH.pdf Open Download Copy Link 14.41 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
14.41 KB |
|
NDBH_Consent.pdf
application/pdfNDBH_Consent.pdf Open Download Copy Link 14.33 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
14.33 KB |
|
Nebraska-Voter-Registration-Form-SPANISH.pdf
Nebraska Voter Registration Form (SPANISH).pdf application/pdfNebraska Voter Registration Form (SPANISH).pdf Open Download Copy Link 179.73 KB 2025-02-04 February 4, 2025 2025-02-03 February 3, 2025 |
179.73 KB |
|
Nebraska-Voter-Registration-Form.pdf
Nebraska Voter Registration Form.pdf application/pdfNebraska Voter Registration Form.pdf Open Download Copy Link 189.03 KB 2025-02-04 February 4, 2025 2025-02-03 February 3, 2025 |
189.03 KB |
|
NTC-Psychological-Testing-Request-Form.pdf
application/pdfNTC-Psychological-Testing-Request-Form.pdf Open Download Copy Link 446.19 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
446.19 KB |
|
NTC_IOP-Day_Treatment_Authorization_Form.pdf
application/pdfNTC_IOP-Day_Treatment_Authorization_Form.pdf Open Download Copy Link 181.36 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
181.36 KB |
|
OQ-45_2.pdf
OQ-45.pdf application/pdfOQ-45.pdf Open Download Copy Link 39.22 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
39.22 KB |
|
OQ-2025-SPANISH.pdf
OQ-45 (SPANISH).pdf application/pdfOQ-45 (SPANISH).pdf Open Download Copy Link 32.42 KB 2025-01-03 January 3, 2025 2025-01-02 January 2, 2025 |
32.42 KB |
|
Patient-Records-Access-Request-Form-10-2024.pdf
Patient Records Access Request Form 10-2024.pdf application/pdfPatient Records Access Request Form 10-2024.pdf Open Download Copy Link 174.42 KB 2024-10-23 October 23, 2024 2024-10-22 October 22, 2024 |
174.42 KB |
|
Patient-Records-Access-Request-Form-SPANISH-10-2024.pdf
Patient Records Access Request Form (SPANISH) 10-2024.pdf application/pdfPatient Records Access Request Form (SPANISH) 10-2024.pdf Open Download Copy Link 165.4 KB 2024-10-23 October 23, 2024 2024-10-22 October 22, 2024 |
165.4 KB |
|
Patient_Assistance_Tracking_Form.pdf
application/pdfPatient_Assistance_Tracking_Form.pdf Open Download Copy Link 12.94 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
12.94 KB |
|
Patient_request_to_amend_records.pdf
application/pdfPatient_request_to_amend_records.pdf Open Download Copy Link 41.98 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
41.98 KB |
|
Petty_Cash_Reimbursment_Record.pdf
application/pdfPetty_Cash_Reimbursment_Record.pdf Open Download Copy Link 7.64 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
7.64 KB |
|
Privacy-notice-2-2026-SPANISH.pdf
application/pdfPrivacy-notice-2-2026-SPANISH.pdf Open Download Copy Link 216.26 KB 2026-02-23 February 23, 2026 2026-02-22 February 22, 2026 |
216.26 KB |
|
Privacy-Practices-Notice-2-page-2-2026.pdf
application/pdfPrivacy-Practices-Notice-2-page-2-2026.pdf Open Download Copy Link 123.86 KB 2026-02-23 February 23, 2026 2026-02-22 February 22, 2026 |
123.86 KB |
|
Privacy-Practices-Notice-Full-Version-2-2026.pdf
application/pdfPrivacy-Practices-Notice-Full-Version-2-2026.pdf Open Download Copy Link 124.92 KB 2026-02-23 February 23, 2026 2026-02-22 February 22, 2026 |
124.92 KB |
|
Progress-Note.pdf
application/pdfProgress-Note.pdf Open Download Copy Link 36.06 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
36.06 KB |
|
Psychological-Evaluation.pdf
application/pdfPsychological-Evaluation.pdf Open Download Copy Link 83.74 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
83.74 KB |
|
Purchase_Requisition.pdf
application/pdfPurchase_Requisition.pdf Open Download Copy Link 20.37 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
20.37 KB |
|
Receipt-Log-Cash-Check.pdf
Receipt Log- Cash & Check.pdf application/pdfReceipt Log- Cash & Check.pdf Open Download Copy Link 488.9 KB 2024-02-23 February 23, 2024 2024-02-19 February 19, 2024 |
488.9 KB |
|
Receipt-Log-Credit-Card.pdf
Receipt Log- Credit Card.pdf application/pdfReceipt Log- Credit Card.pdf Open Download Copy Link 485.69 KB 2024-02-23 February 23, 2024 2024-02-19 February 19, 2024 |
485.69 KB |
|
Registration-Consent-9-2025-SPANISH.pdf
application/pdfRegistration-Consent-9-2025-SPANISH.pdf Open Download Copy Link 139.62 KB 2026-02-24 February 24, 2026 2026-02-23 February 23, 2026 |
139.62 KB |
|
Registration-Consent-9-2025.pdf
Registration Consent 9-2025.pdf application/pdfRegistration Consent 9-2025.pdf Open Download Copy Link 604.43 KB 2025-09-03 September 3, 2025 2025-08-28 August 28, 2025 |
604.43 KB |
|
Registration-Form-6-2026-SPANISH.pdf
Registration Form 6-2026 (SPANISH).pdf application/pdfRegistration Form 6-2026 (SPANISH).pdf Open Download Copy Link 121.56 KB 2026-07-28 July 28, 2026 2026-07-27 July 27, 2026 |
121.56 KB |
|
Registration-Form-6-2026.pdf
Registration Form 6-2026.pdf application/pdfRegistration Form 6-2026.pdf Open Download Copy Link 410.52 KB 2026-07-28 July 28, 2026 2026-07-27 July 27, 2026 |
410.52 KB |
|
Report-of-Complaint-Rev-5-2018.pdf
application/pdfReport-of-Complaint-Rev-5-2018.pdf Open Download Copy Link 12.32 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
12.32 KB |
|
ROI-Disclose-Crete-2018-SPANISH.pdf
application/pdfROI-Disclose-Crete-2018-SPANISH.pdf Open Download Copy Link 27.63 KB 2020-05-05 May 5, 2020 2023-04-14 April 14, 2023 |
27.63 KB |
|
ROI-Obtain-Crete-2018-SPANISH.pdf
application/pdfROI-Obtain-Crete-2018-SPANISH.pdf Open Download Copy Link 28.09 KB 2020-05-05 May 5, 2020 2023-04-14 April 14, 2023 |
28.09 KB |
|
ROI-ObtainDisclose-Auburn-2023.pdf
ROI (Obtain+Disclose)- Auburn, 2023.pdf application/pdfROI (Obtain+Disclose)- Auburn, 2023.pdf Open Download Copy Link 273.64 KB 2023-11-03 November 3, 2023 2023-11-02 November 2, 2023 |
273.64 KB |
|
ROI-ObtainDisclose-Beatrice-2023.pdf
ROI (Obtain+Disclose)- Beatrice, 2023.pdf application/pdfROI (Obtain+Disclose)- Beatrice, 2023.pdf Open Download Copy Link 273.96 KB 2023-11-03 November 3, 2023 2023-11-02 November 2, 2023 |
273.96 KB |
|
ROI-ObtainDisclose-Crete-2023.pdf
ROI (Obtain+Disclose)- Crete, 2023.pdf application/pdfROI (Obtain+Disclose)- Crete, 2023.pdf Open Download Copy Link 273.65 KB 2023-11-03 November 3, 2023 2023-11-02 November 2, 2023 |
273.65 KB |
|
ROI-ObtainDisclose-David-City-2023.pdf
ROI (Obtain+Disclose)- David City, 2023.pdf application/pdfROI (Obtain+Disclose)- David City, 2023.pdf Open Download Copy Link 274.2 KB 2023-11-03 November 3, 2023 2023-11-02 November 2, 2023 |
274.2 KB |
|
ROI-ObtainDisclose-Fairbury-2023.pdf
ROI (Obtain+Disclose)- Fairbury, 2023.pdf application/pdfROI (Obtain+Disclose)- Fairbury, 2023.pdf Open Download Copy Link 275.1 KB 2023-11-03 November 3, 2023 2023-11-02 November 2, 2023 |
275.1 KB |
|
ROI-ObtainDisclose-Falls-City-2023.pdf
ROI (Obtain+Disclose)- Falls City, 2023.pdf application/pdfROI (Obtain+Disclose)- Falls City, 2023.pdf Open Download Copy Link 274.57 KB 2023-11-03 November 3, 2023 2023-11-02 November 2, 2023 |
274.57 KB |
|
ROI-ObtainDisclose-Lincoln-2023.pdf
ROI (Obtain+Disclose)- Lincoln, 2023.pdf application/pdfROI (Obtain+Disclose)- Lincoln, 2023.pdf Open Download Copy Link 274.55 KB 2023-11-03 November 3, 2023 2023-11-02 November 2, 2023 |
274.55 KB |
|
ROI-ObtainDisclose-NE-City-2023.pdf
ROI (Obtain+Disclose)- NE City, 2023.pdf application/pdfROI (Obtain+Disclose)- NE City, 2023.pdf Open Download Copy Link 274.58 KB 2023-11-03 November 3, 2023 2023-11-02 November 2, 2023 |
274.58 KB |
|
ROI-ObtainDisclose-Seward-2023.pdf
ROI (Obtain+Disclose)- Seward, 2023.pdf application/pdfROI (Obtain+Disclose)- Seward, 2023.pdf Open Download Copy Link 274.57 KB 2023-11-03 November 3, 2023 2023-11-02 November 2, 2023 |
274.57 KB |
|
ROI-ObtainDisclose-Wahoo-2023.pdf
ROI (Obtain+Disclose)- Wahoo, 2023.pdf application/pdfROI (Obtain+Disclose)- Wahoo, 2023.pdf Open Download Copy Link 273.65 KB 2023-11-03 November 3, 2023 2023-11-02 November 2, 2023 |
273.65 KB |
|
ROI-ObtainDisclose-York-2023.pdf
ROI (Obtain+Disclose)- York, 2023.pdf application/pdfROI (Obtain+Disclose)- York, 2023.pdf Open Download Copy Link 272.97 KB 2023-11-03 November 3, 2023 2023-11-02 November 2, 2023 |
272.97 KB |
|
Sample_Log_Form.pdf
application/pdfSample_Log_Form.pdf Open Download Copy Link 58.41 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
58.41 KB |
|
SAVE_Verification_Request_Form.pdf
application/pdfSAVE_Verification_Request_Form.pdf Open Download Copy Link 28.94 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
28.94 KB |
|
SA_Voucher_Tracking_Form.pdf
application/pdfSA_Voucher_Tracking_Form.pdf Open Download Copy Link 19.32 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
19.32 KB |
|
Service-Note-CS-Goals-and-Objectives.pdf
application/pdfService-Note-CS-Goals-and-Objectives.pdf Open Download Copy Link 35.88 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
35.88 KB |
|
Service-Note.pdf
application/pdfService-Note.pdf Open Download Copy Link 32.48 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
32.48 KB |
|
Sliding-Fee-Eligibility-Form-7-2026-SPANISH.pdf
Sliding Fee Eligibility Form 7-2026 (SPANISH).pdf application/pdfSliding Fee Eligibility Form 7-2026 (SPANISH).pdf Open Download Copy Link 329.05 KB 2026-07-28 July 28, 2026 2026-06-14 June 14, 2026 |
329.05 KB |
|
Sliding-Fee-Eligibility-Form-eff-7-2026.pdf
Sliding Fee Eligibility Form, eff 7-2026.pdf application/pdfSliding Fee Eligibility Form, eff 7-2026.pdf Open Download Copy Link 312.49 KB 2026-07-28 July 28, 2026 2026-06-14 June 14, 2026 |
312.49 KB |
|
Sliding-Fee-Memo-to-Finance-Director-10-2021.pdf
application/pdfSliding-Fee-Memo-to-Finance-Director-10-2021.pdf Open Download Copy Link 502.66 KB 2021-11-01 November 1, 2021 2023-04-14 April 14, 2023 |
502.66 KB |
|
Sliding_Fee-CDS_Admission_Form.pdf
application/pdfSliding_Fee-CDS_Admission_Form.pdf Open Download Copy Link 33.28 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
33.28 KB |
|
Sliding_Fee-Discharge-Summary_Form.pdf
application/pdfSliding_Fee-Discharge-Summary_Form.pdf Open Download Copy Link 15.16 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
15.16 KB |
|
SOGS-Scoring-Rules.pdf
SOGS Scoring Rules.pdf application/pdfSOGS Scoring Rules.pdf Open Download Copy Link 59.32 KB 2025-01-13 January 13, 2025 2025-01-12 January 12, 2025 |
59.32 KB |
|
SOQ_.pdf
application/pdfSOQ_.pdf Open Download Copy Link 26.52 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
26.52 KB |
|
SOQ_Spanish.pdf
application/pdfSOQ_Spanish.pdf Open Download Copy Link 38.26 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
38.26 KB |
|
South-Oaks-Gambling-Screen-SOGS-1-2025.pdf
South Oaks Gambling Screen (SOGS), 1-2025.pdf application/pdfSouth Oaks Gambling Screen (SOGS), 1-2025.pdf Open Download Copy Link 116.03 KB 2025-01-13 January 13, 2025 2025-01-12 January 12, 2025 |
116.03 KB |
|
Supervisory_Contact_Note.pdf
application/pdfSupervisory_Contact_Note.pdf Open Download Copy Link 11.74 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
11.74 KB |
|
TASC_Program_Referral_Form.pdf
application/pdfTASC_Program_Referral_Form.pdf Open Download Copy Link 64.2 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
64.2 KB |
|
Telehealth-Consent-SPANISH.pdf
application/pdfTelehealth-Consent-SPANISH.pdf Open Download Copy Link 294.73 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
294.73 KB |
|
Telehealth_Consent.pdf
application/pdfTelehealth_Consent.pdf Open Download Copy Link 501.53 KB 2020-08-25 August 25, 2020 2023-04-14 April 14, 2023 |
501.53 KB |
|
Transportation_Consent.pdf
application/pdfTransportation_Consent.pdf Open Download Copy Link 10.86 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
10.86 KB |
|
Treatment-Plan-Review.pdf
application/pdfTreatment-Plan-Review.pdf Open Download Copy Link 19.34 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
19.34 KB |
|
Updated-SA-Service-Note-Adult.pdf
application/pdfUpdated-SA-Service-Note-Adult.pdf Open Download Copy Link 43.05 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
43.05 KB |
|
Updated-SA-Service-Note-Child.pdf
application/pdfUpdated-SA-Service-Note-Child.pdf Open Download Copy Link 37.58 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
37.58 KB |
|
Video-filming-release-5-2022.pdf
application/pdfVideo-filming-release-5-2022.pdf Open Download Copy Link 109.09 KB 2022-06-06 June 6, 2022 2023-04-14 April 14, 2023 |
109.09 KB |
|
Waiting-List.pdf
application/pdfWaiting-List.pdf Open Download Copy Link 16.36 KB 2020-05-05 May 5, 2020 2023-04-14 April 14, 2023 |
16.36 KB |
|
Waiver_of_Liability_Statement.pdf
application/pdfWaiver_of_Liability_Statement.pdf Open Download Copy Link 10.08 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
10.08 KB |
|
Weekly_Probation-Parole_Note.pdf
application/pdfWeekly_Probation-Parole_Note.pdf Open Download Copy Link 6.98 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
6.98 KB |
|
YAP-Assessment.pdf
application/pdfYAP-Assessment.pdf Open Download Copy Link 33.41 KB 2020-05-07 May 7, 2020 2023-04-14 April 14, 2023 |
33.41 KB |
|
YOQ-30-PR.pdf
application/pdfYOQ-30-PR.pdf Open Download Copy Link 111.26 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
111.26 KB |
|
YOQ-30-Spanish.pdf
application/pdfYOQ-30-Spanish.pdf Open Download Copy Link 91.03 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
91.03 KB |
|
YOQ-30SR.pdf
application/pdfYOQ-30SR.pdf Open Download Copy Link 31.8 KB 2020-05-01 May 1, 2020 2023-04-14 April 14, 2023 |
31.8 KB |
|
ZOOM-Provider-Instructions-using-Individual-Account.pdf
application/pdfZOOM-Provider-Instructions-using-Individual-Account.pdf Open Download Copy Link 297.04 KB 2020-05-18 May 18, 2020 2023-04-14 April 14, 2023 |
297.04 KB |
|
ZOOM-Tips-for-Home-based-Telehealth.pdf
application/pdfZOOM-Tips-for-Home-based-Telehealth.pdf Open Download Copy Link 299.96 KB 2020-05-18 May 18, 2020 2023-04-14 April 14, 2023 |
299.96 KB |
151