373 S. High Street, 25th Floor Suite 164
Columbus, OH 43215
614-525-5577
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Restrictions Please specify reason for unexcused absence in case note (if known)
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Restrictions Please include any additional information in the case note (if known)
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Restrictions Completed PRS nurse visit, urine screen, and orgal challenge.
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Restrictions include reason for detained removal in case note.
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Restrictions Add any known details in the case note.
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Restrictions Add any known details in the case note.
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Restrictions If additional info is available, please include in case note.
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Restrictions Service date should be date referral was made to provider
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Restrictions Service date should be date referral was made to Armor
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Restrictions Remember to add Milestone Gift Card Provided Service
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Restrictions Include injection provider name in case note. Remember to add Milestone Gift Card Provided Service
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Restrictions Remember to add Milestone Gift Card Provided Service
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Restrictions Include injection provider name in case note. Remember to add Milestone Gift Card Provided Service
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Restrictions Please include Milestone # in the case notes
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Restrictions If additional info is available, please include in case note.
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Restrictions If additional info is available, please include in case note.
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Restrictions Include details of the type of attempt (phone, text, etc) and the result.
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Restrictions Include community location and meeting details in case note. Does a Milestone service also need entered?
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Restrictions Include meeting details in case note. Does a Milestone service also need entered?
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Restrictions Include conversation details in case note
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Restrictions Include conversation details in case note
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Restrictions Provide detailed note on who was contacted and how, along with summary of discussion.
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Restrictions If additional info is available, please include in case note.
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Restrictions Confirmed post-release MAT provider.
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Restrictions Attempted post-release contact 3 times with no success OR client requested no further contact.
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Restrictions Provide detailed note on reason for discharge
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Restrictions If additional info is available, please include in case note.
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Restrictions Note reason refused if known
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Restrictions Add reason in case note
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Restrictions If additional info is available, please include in case note.
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Restrictions Please add provider name in Service case note.
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Restrictions If additional info is available, please include in case note.
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Restrictions Date of service should be the date the injection was received.
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Restrictions Use this service to record when an individual has received an initial or ongoing pre-release injection.
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Restrictions If additional info is available, please include in case note.
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Restrictions This service is for those who are still incarcerated, but refused to get their 2nd or 3rd sublocade injection while incarcerated.
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Restrictions This service is for those who are still incarcerated, but refused to get their 2nd or 3rd vivitrol injection while incarcerated.
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Restrictions Add any known details in the case note.
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Restrictions Service date should be client's release date.
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Restrictions Please specify reason for administrative removal in the case note.
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Restrictions Add details in the service case note
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Restrictions Attach completed OJPP Transition Plan to the service.
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