Get Application Packet Clitheroe Center - Recover Alaska

The APPLICATION PACKET for the Clitheroe Center at Recover Alaska is designed to help you access essential behavioral health services. This guide will walk you through each step of filling out the form accurately and effectively.

Follow the steps to complete the application packet online.

1. Click the ‘Get Form’ button to access the form and open it in your designated editor.
2. Begin by reading the directions provided at the beginning of the packet. It is important to familiarize yourself with all elements to ensure a smooth completion process.
3. On pages 4 and 5, answer the questions regarding the services you need. Make sure to indicate whether you have had a Substance Abuse Assessment in the last six months.
4. Complete the Intergy Demographics and Financial Registration Form found starting at page 6. Provide accurate personal information, including your name, contact details, social security number, and employment status.
5. Next, fill out the sliding fee application form to determine eligibility for discounts based on your financial situation.
6. Proceed to the Legal Data Questionnaire on page 14, detailing any legal history or referrals you may have, as this information is crucial for your application.
7. Complete the Substance Abuse Treatment History and Substance Use History forms, ensuring all previous treatment information is accurately reported.
8. Fill out the Medical Screening Form, including any current health issues and medications you are taking.
9. Complete the Mental Health Questionnaire and Mental Health Screening Form III, detailing your emotional health and history.
10. Finally, review all filled sections for accuracy, save your changes, and either download, print, or share the completed form as required.

Complete your APPLICATION PACKET Clitheroe Center - Recover Alaska online today to take the first step towards receiving the support you need.