Completed reports can be faxed to:  720-213-1007   OR   720-213-0002

The following monthly/quarterly reports are fillable pdf files which can be completed electronically.  To utilize standard paper reports that may be completed by hand, click here. 

NOTE:  All Supervisor Reports were updated 2/24/12.  Please make sure your Supervisor is using the most current version.  There are now four different Self Status Reports available.  Clients may choose one of the four to submit each reporting period.  There are also separate Supervisor Reports for Registered Nurses and License Practical Nurses.  It is the clients responsibility to maintain updated forms.  The content of the forms changes frequently and new forms are added.

To access Consent forms Click Here.

General Forms For All Clients
Contact Change Form - Updated 1/20/10
Relapse Prevention Plan - Updated 1/20/10
Relapse Prevention Plan - Advanced - Updated 1/20/10
Relapse Prevention Plan—Mental Health - Updated 1/20/10
Vacation/Travel Request  - Updated 7/11/11

Monthly/Quarterly Reports For All Clients
Monthly Meeting List Report - Updated 1/20/10 - There is no electronic version of this form available.
Opiate Replacement Therapy Report - Updated 1/20/10
Pain Management Provider Report - Updated 1/20/10
Psychiatrist Report- Updated 1/20/10
Self Status Report- Updated 1/20/10
Self Status Report - Education Employment Report - Updated 1/20/10
Self Status Report - Monthly Recovery Plan - Updated 1/20/10
Self Status Report - Wellness Plan - Updated 1/20/10
Sponsor Report - Updated 1/20/10
Therapist Report - Updated 1/20/10
Therapist Report - Mental Health - NEW! 7/13/11
Treatment Provider Report - Updated 1/20/10

Reports For Nurses
Supervisor Report for Registered Nurses - Updated 1/20/10
Supervisor Report for Licensed Practical Nurses - Updated 2/24/12
Nurse Practice Monitor Report - Updated 1/20/11

Reports For Dentists
Dentist Practice Monitor Report - Updated 3/28/12  - Electronic version coming soon!

Reports For Pharmacists
Pharmacist Supervisor Report  - Updated 2/14/11

Reports For Fee For Service
Chiropractor Supervisor Report - Updated 2/24/12 - Electronic format coming soon!
Registered Dental Hygenist Supervisor Report - Updated 2/24/12 - Electronic format coming soon!
Mental Health Professional Supervisor Report - Updated 2/24/12 - Electronic format coming soon!
Respiratory Therapist Supervisor Report - Updated 2/24/12 - Electronic format coming soon!
Surgical Assistant Supervisor Report - Updated 2/24/12 - Electronic format comoing soon!
Veterinarian Supervisor Report  - Updated 2/24/12 - Electronic format coming soon!