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  • Counselingtherapistmedication Management Report - Tnpap

Get Counselingtherapistmedication Management Report - Tnpap

Counseling/Therapist/Medication Management Report Explanation: The Tennessee Professional Assistance Program (TnPAP) requires this evaluation of the participant 's progress as a condition of compliance.

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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.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. 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.
  3. 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.
  4. Confirm your understanding of the terms and conditions by selecting ‘Yes’ or ‘No’.
  5. State the duration of time you have worked with the individual, and select the type of therapy being utilized: Individual, Group, or Family.
  6. Specify how often the individual is required to attend therapy sessions by selecting from the options: Weekly, Bi-weekly, or Monthly.
  7. 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.
  8. Outline the therapy goals and document the individual's progress towards those goals to date.
  9. Assess and document the prognosis of therapy and estimated length of continued treatment for the individual.
  10. Provide additional comments regarding the individual’s stability in recovery, support systems, problem-solving ability, cognitive functioning, judgment, and more.
  11. Sign the report, include the date, and print your name along with the name of your agency, address, city, state, and zip code.
  12. 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.
  13. 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.

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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.

Steps in Basic TNPAP Services: Evaluation/assessment by TNPAP-approved healthcare provider. Evaluator provides TNPAP with recommended treatment plan. If appropriate, TNPAP refers and/or assists participant in selecting appropriate treatment center. TNPAP provides support throughout the period of treatment.

There is no cost paid to TNPAP for TNPAP services when the individual has an active TN license.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232