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SUBSTANCE ABUSE FORM

Consumer Orientation

I hereby acknowledge that I have received and have been given an opportunity to read a copy of New Progressions legal documentation and policies listed below. I hereby give my consent to receive and participate in treatment services at New Progressions. I understand that if I have any questions regarding any of the following policies and procedures: I can contact New Progressions at 404-565-2249.

Notices Provided to Individual & Family:

DATEP Orientation Packet Needed Diagnosis:

Co-Occurring Mental Health and Substance Abuse Disorder
If yes, Referral for Medical Assessment
Complete ROI for outside Medical Provider
Attending Group
Fee Schedule Agreement
Leave Client/Guardian with the following