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Get Counselingtherapistmedication Management Report - Tnpap
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How to fill out the CounselingTherapistMedication Management Report - Tnpap online
This guide provides clear and supportive instructions for completing the CounselingTherapistMedication Management Report required by the Tennessee Professional Assistance Program. By following this guide, you can ensure that your submission meets all necessary criteria.
Follow the steps to accurately complete the report online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering the participant information. Fill in the reporting period by specifying the 'From' and 'To' dates. Include the participant's name, address, city, state, zip code, and telephone number.
- Indicate whether you have been provided a copy of the evaluation or treatment discharge by the named individual, marking the appropriate ‘Yes’ or ‘No’ checkbox.
- Confirm your understanding of the terms and conditions by selecting ‘Yes’ or ‘No’.
- State the duration of time you have worked with the individual, and select the type of therapy being utilized: Individual, Group, or Family.
- Specify how often the individual is required to attend therapy sessions by selecting from the options: Weekly, Bi-weekly, or Monthly.
- Indicate whether the individual has been attending sessions regularly by selecting ‘Yes’ or ‘No’. If attendance is irregular, provide an explanation in the comments section.
- Outline the therapy goals and document the individual's progress towards those goals to date.
- Assess and document the prognosis of therapy and estimated length of continued treatment for the individual.
- Provide additional comments regarding the individual’s stability in recovery, support systems, problem-solving ability, cognitive functioning, judgment, and more.
- Sign the report, include the date, and print your name along with the name of your agency, address, city, state, and zip code.
- If this is your first time filing the report, complete the section requesting your type of degree, length of time in practice, TN license number, and indicate if you are a certified or qualified chemical dependence and/or alcohol counselor/therapist.
- Once all sections have been accurately filled, save your changes, and consider downloading, printing, or sharing the form as needed.
Complete your CounselingTherapistMedication Management Report online today to ensure timely submission and compliance.
aware of the agreement. The term of monitoring may vary, depending upon the individual criteria as determined by your evaluation, treatment team and TnPAP. Generally, the Monitoring Agreement duration is 36 months except for advance practice providers which is 60 months.
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