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Meeting Attendance Verification - aa-shreveport

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Meeting Attendance Verification - aa-shreveport

Meeting Attendance Verification Name: _____ Date/Time:_____/_____ Circle one: (AA, NA, CA) Meeting: _____ Location:_____

http://aa-shreveport.org/uploads/MeetingVerificationForm.pdf

Date added: February 16, 2013 - Views: 162

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AA - NA Attendance - Adult Probation

AA - NA Attendance DEFENDANT’S NAME OFFICER’S NAME The following record is a true representation of the AA/NA meeting(s) that I have attended. I understand that falsifying or altering this document may constitute a criminal offense. AA ...

http://www.adultprobation.net/files/aa.pdf

Date added: October 21, 2011 - Views: 1033

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ATTENDANCE FORM FOR ALCOHOLICS/NARCOTICS ANONYMOUS MEETINGS

ATTENDANCE FORM FOR ALCOHOLICS/NARCOTICS ANONYMOUS MEETINGS NAME: SUPERVISION OFFICER: _____ The above captioned individual is required by his supervision conditions to attend Alcoholics Anonymous meetings.

http://www.collincountytx.gov/county_court_law/ccl1/Documents/AA_attendance.pdf

Date added: July 27, 2014 - Views: 1

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Attendance Form for Alcoholics/Narcotics Anonymous or ...

Attendance Form for Alcoholics/Narcotics Anonymous or Independent Outpatient Meetings. Full Name Department Job Title Supervisor University ID The above named individual is required to attend these meetings.

http://www.drexel.edu/hr/resources/policies/dupolicies/hr11/~/media/Files/hr/forms/AAOutpatientDU.ashx

Date added: March 28, 2012 - Views: 100

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AA Attendance Record - United States Probation and Pretrial ...

AA Attendance Record It is your responsibility to attend at least AA meetings per week. This form is to be brought back to the U.S. Probation Office each week that you are in treatment.

http://www.mssp.uscourts.gov/Forms/AAMeet.pdf

Date added: December 27, 2012 - Views: 186

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ARIZONA STATE BOARD OF NURSING

arizona state board of nursing 4747 north 7th street, suite 200 phoenix, arizona 85014-3655 (602) 771-7865 fax (602) 771-7882 aa/na attendance report

https://www.azbn.gov/documents/cando/CANDO-FORM-AA-NA-ATTENDANCE.pdf

Date added: May 6, 2013 - Views: 1

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Recovery Program Meeting Attendance Log - KYLAP

General: AA-Alcoholics Anonymous Specific: ... NA-Narcotics Anonymous RECOVERY PROGRAM MEETING ATTENDANCE LOG *Types of meeting (indicate both general and specific type): Title: Recovery Program Meeting Attendance Log.xls Author: hprather

http://www.kylap.org/files/Recovery%20Program%20Meeting%20Attendance%20Log.pdf

Date added: February 17, 2012 - Views: 351

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TO WHOM IT MAY CONCERN - Aspen Counseling

AA/NA neither endorses nor opposes any causes or organizations. PROOF OF ATTENDANCE AT AA/NA MEETINGS DATE NAME AND LOCATION OF GROUP NAME OF SIGNER TELEPHONE # Title: TO WHOM IT MAY CONCERN: Created Date:

http://www.aspen-counseling.com/documents/aanaproofofattendance.pdf

Date added: January 28, 2012 - Views: 109

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12 Step Meeting Attendance Sheet AA/NA/CA/DRA/GA

12 Step Meeting Attendance Sheet AA/NA/CA/DRA/GA Name: _____ Phase :_____ Week of:_____

http://www.co.jackson.mi.us/jacksoncounty/county_courts/honorable_susan_beebe/recovery_court/uploads/12_Step_Meeting_Attendance_Sheet.pdf

Date added: October 25, 2012 - Views: 179

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AA/NA/CA Attendance Verification - Gallipolis, Ohio

A.A./N.A./C.A. ATTENDANCE VERIFICATION NAME _____ IS TO ATTEND A MINUMUM OF _____ MEETINGS PER WEEK Directions : Fill in date & time then at the beginning of meeting, hand this form to chairperson or secretary so at the

http://www.cityofgallipolis.com/gallipolis/judicial_system/uploads/AANACA_Attendance_Verification.pdf

Date added: October 25, 2012 - Views: 94

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ARIZONA STATE BOARD OF NURSING 4747 NORTH 7TH STREET, SUITE ...

page 1 of 2 n:\monitoring\forms\cna-forms\monitor-form-aa-na-cna.doc arizona state board of nursing 4747 north 7th street, suite 200 phoenix, arizona 85014-3655

https://www.azbn.gov/documents/monitoring/MONITOR-FORM-AA-NA-CNA.pdf

Date added: January 5, 2013 - Views: 3

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ON-LINE MEETING FORM - Narcotics Anonymous

Please return to: NA World Services, PO Box 9999, Van Nuys, CA 91409 -9099 USA This form is also available on our website – www.na.or g. ON-LINE MEETING FORM

http://www.na.org/?ID=OnlineMeetingForms.pdf

Date added: May 12, 2012 - Views: 23

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DATE GROUP CHAIRPERSON/PHONE # OPEN/CLOSED MEETING

Please do not sign this form until the completion of the meeting. Your cooperation in this matter is appreciated. Defendant Name:_____ DATE GROUP CHAIRPERSON/PHONE # OPEN/CLOSED MEETING ... Microsoft Word - AA NA Attendance Record

http://www.cityofsouthfield.com/Portals/0/docs/46th%20DC/AA%20NA%20Attendance%20Record.pdf

Date added: October 31, 2011 - Views: 94

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Verification of Meeting Attendance (AA, NA, MA)

Verification of Meeting Attendance Student Name _____ PID# _____ _____ Date/Time of Meeting _____ Meeting Location ... Verification of Meeting Attendance (AA, NA, MA)

http://students.ucsd.edu/_files/student-conduct/osc-meeting-verification-form.pdf

Date added: May 6, 2013 - Views: 19

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12-STEP MEETING ATTENDANCE SHEET - sks

12-step meeting rev. 10/25/12 attendance sheet month/year_____name:_____license #:_____ date time of day location type: ca, aa, na chairperson sign or initial required: sponsor comments on step work/progress/ other: comments ...

http://nmbon.sks.com/uploads/FileLinks/d88b43be87804a6c942e2e0aa67ef3ad/12_Step_Meeting_Attendance_Oct12.pdf

Date added: May 3, 2013 - Views: 112

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AA/NA/GA VERIFICATION SHEET AFTER THE MEETING HAS ENDED

AA/NA/GA VERIFICATION SHEET Due to your special condition(s), you are required to attend one (or ____ ) AA, NA or GA meetings per week. You must have the secretary of the meeting sign this form AFTER THE

http://www.rip.uscourts.gov/rip/supervision/supervisionforms/AANAform.pdf

Date added: February 3, 2012 - Views: 286

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ATTENDING AA/NA MEETINGS AND ABSTINENCE FROM ALCOHOL AND ...

Alcoholics Anonymous and Narcotics Anonymous meetings, ... The researcher compared attending AA/NA meetings and abstinence form alcohol and/or drugs within the demographics of ... relationship of attending AA/NA meetings and how attendance in those meetings can

http://csus-dspace.calstate.edu/bitstream/handle/10211.9/1642/Thesis.pdf?sequence=1

Date added: August 12, 2013 - Views: 9

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SELF-HELP ATTENDANCE VERIFICATION - HPRP

This form is used to verify that I have attended the following self-help group meetings (AA, NA, Caduceus, Al-Anon, Nar-Anon, etc.) ... It only verifies attendance at the listed meetings.

http://www.hprp.org/documents/Self-Help%20Attendance%20Verification.pdf

Date added: May 10, 2013 - Views: 56

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Miami-Dade County Drug Court Program

Miami-Dade County Drug Court Program . DEFENDANT’S PROOF OF 12 STEP PROGRAM (NA/AA) ATTENDANCE . As a condition of my participation in the Miami-Dade Drug Court Program, I,

http://www.friendsofthedrugcourt.org/fodc/images/stories/meeting%20attendance%20sheet.pdf

Date added: March 7, 2012 - Views: 25

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SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL ...

sdsc crm-190 (rev. 12/13) aa/na/ca/ma meeting attendance sheet superior court of california, county of san diego central division, county courthouse, 220 w. broadway, san diego, ca 92101

http://www.sdcourt.ca.gov/pls/portal/docs/PAGE/SDCOURT/GENERALINFORMATION/FORMS/CRIMINALFORMS/CRM190.PDF

Date added: January 27, 2014 - Views: 5

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County of Santa Clara - SCCGOV

Please return this form to the client at the close of the meeting. AA: (408) 374-8511 [www.aasanjose.org]; NA: (408) 998-4200 ... * You are to provide proof of meeting attendance during the first week of each new month. You can

http://www.sccgov.org/sites/pretrial/Services/Forms/Documents/AA-NA%20Attendance%20of%20Meeting%20Form.pdf

Date added: May 13, 2013 - Views: 5

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AA/NA/SUPPORT GROUP OR AFTERCARE MEETINGS REPORT

aa/na/support group or aftercare meetings report • nurse’s name: • group name: • group location: • date attended: type of group: aa speaker (check those that apply) na discussion anir step other big book study open closed what was the subject of the meeting ...

http://www.arsbn.arkansas.gov/forms/Documents/meetings_report.pdf

Date added: March 5, 2012 - Views: 15

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Attendance Verification Sheet - Walker County, Texas

Attendance Verification Sheet _____ is to attend AA/NA meetings as ordered by the Judicial District Community Supervision and Corrections Department.

http://www.co.walker.tx.us/egov/apps/document/center.egov?path=doc&id=478&id2=381

Date added: May 3, 2013 - Views: 60

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Attendance at Narcotics Anonymous and Alcoholics Anonymous ...

Attendance at Narcotics Anonymous and Alcoholics Anonymous meetings, frequency of attendance and substance use outcomes after residential treatment

http://www.orange-papers.org/Gossop_et_al_2007_Attendance_and_outcomes.pdf

Date added: March 28, 2012 - Views: 37

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NAME REPORT FOR THE MONTH , 20

NAME_____ REPORT FOR THE MONTH _____, 20_____ This form may be used to document your weekly attendance at AA/NA meetings.

http://www.msbn.ms.gov/Documents/aanacal.pdf

Date added: May 17, 2013 - Views: 6

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Support Group Attendance Form - Oklahoma

support group attendance form (please make sufficient copies for your use) participant: _____ reporting month(s)_____ no. of support groups [aa, na, ca, al-anon] mtgs per week: _____ no. of nurse support group mtgs. per week: _____ sunday: - saturday ...

http://www.ok.gov/nursing/supgrp.pdf

Date added: April 16, 2013 - Views: 6

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OFFICE HOME VISIT MAIL HAND DELIVERED

AA/ NA members are asked to verify attendance at meetings on a hand carry basis. This is in keeping with ... The probationer named on the front of this form has attended daily from _____ to_____. (Please note ...

http://www.fultonco.org/wp-content/uploads/2014/02/Adult-Report-Form.pdf

Date added: August 30, 2014 - Views: 1

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Verification of Enrollment and Attendance (VOE) Form

Form CDD-104 Revised 1/2006 School Name County-District-Campus No. (If Applicable) Verification of Enrollment and Attendance (VOE) Form Planned Use of Data: To provide documentation of enrollment and attendance status to the Texas Department of Public Safety (DPS) for a

http://www.usdrivertraining.com/states/Texas/voe.pdf

Date added: November 6, 2011 - Views: 33

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12-STEP MEETING ATTENDANCE SHEET - Welcome to the New Mexico ...

12-step meeting attendance sheet . to be submitted by the 15th of each month due . month/year_____name:_____license #: _____ date time of day ... type: ca, aa, na chairperson sign or initial . required: sponsor comments on step work/progress/ other:

http://nmbon.sks.com/uploads/FileLinks/d2be4887fe8948e7b95df0793ca4378a/DP_12_step_mtg_attendance_Nov11.pdf

Date added: May 14, 2013 - Views: 22

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TEXAS DEPARTMENT OF CRIMINAL JUSTICE PAROLE DIVISION

AA/NA or some form of substance abuse counseling : 3. Group counseling : 4. ... Once the completed request form is received, it will be forwarded to the appropriate Regional Director ... Alternate Housing Resources, 1650 7th Street, West Bldg., Huntsville, ...

http://www.tdcj.state.tx.us/documents/parole/02.01.18_parole_policy.pdf

Date added: March 25, 2012 - Views: 1

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REP Meeting Attendance Forms Instructions

REP Meeting Attendance Forms ... (AA, NA) o Sponsor meetings o Group meetings (IOP, relapse prevention, aftercare or other treatment or group ... attending, have an AA group member or your sponsor sign the form verifying your participation.

http://www.southworthassociates.net/resources/monitoring/recovery-enhancement-program?download=65%3Arep-car-instuctions

Date added: February 16, 2014 - Views: 4

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generic meeting attendance sheet - Bing

ATTENDANCE FORM FOR ALCOHOLICS/NARCOTICS ANONYMOUS MEETINGS www.co.collin.tx.us/supervision_corrections/forms/aa_na_attendance ... Free AA Meeting Attendance Sheet Den Meeting Attendance Sheet 12 Step Meeting Attendance Sheet. Title:

http://pdfsdir.com/download/generic-meeting-attendance-sheet.pdf

Date added: April 14, 2014 - Views: 13

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NAME REPORT FOR THE MONTH , 20

COMPLIANCE DIVISION NAME_____ REPORT FOR THE MONTH _____, 20_____ This form may be used to document your weekly attendance at AA/NA meetings.

http://www.msbn.ms.gov/Documents/Compliance/AANA%20Calendar.pdf

Date added: May 6, 2013 - Views: 3

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United States District Court Probation Office District of ...

United States District Court Probation Office District of Wyoming NA/AA VERIFICATION OF ATTENDANCE Name: _____ Month: _____

http://www.wyp.uscourts.gov/forms/NA-AA-Verification-Form.pdf

Date added: June 13, 2012 - Views: 12

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Louisiana State Board of Nursing

H. AA/NA attendance reported: Y . N . N/A . I. Any known alcohol or drug use: Y. N. N/A J. Compliant with treatment: Y N . K. Anticipated date of completion of treatment ... Therapist/Counselor Report Form Author: BARBARA MORBANT

http://www.lsbn.state.la.us/Portals/1/Documents/rnp/TherapistReport.pdf

Date added: May 17, 2013 - Views: 4

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Boone County Drug Court Entry Questionnaire

program if I falsify an AA/NA attendance sheet or community services form. True False 21. ... The Boone County Drug Court Program is a court-supervised, ... Attendance will be required at 12-step meetings such as Narcotics Anonymous and Alcoholics Anonymous.

http://www.courts.mo.gov/hosted/circuit13/documents/ASC_DCBNEManual.pdf

Date added: September 27, 2012 - Views: 14

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attendance sheet fir meeting - Bing

12 Step Meeting Attendance Form 1 2 3 Including results for attendance sheet for meeting. Do you want results only for attendance sheet fir meeting? ... AA Na Meeting Attendance Sheet. Title: attendance sheet fir meeting - Bing Created Date:

http://pdfdirff.com/download/attendance-sheet-fir-meeting.pdf

Date added: August 30, 2014 - Views: 1

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Louisiana State Board of Nursing

J. AA/NA attendance reported: Y N N/A K. Any known alcohol or drug use: Y N N/A L. Compliant with treatment: Y. N. M. Anticipated date of ... Revised: 7/28/14. Title: Psychiatrist/Addictionist Monthly Report Form Author: BARBARA MORBANT Created Date:

http://www.lsbn.state.la.us/Portals/1/Documents/rnp/PsychiatristReport.pdf

Date added: May 17, 2013 - Views: 5

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FUM083-Outpatient Substance Use Disorder Treatment Request Form

Use this form only to request group or individual therapy for substance use disorders. For any mental health treatment requests, ... Outside AA/NA Attendance* None 1-4/Week > 4/Week Sponsorship* Nome Temporary Permanent Skill ...

http://www.companionbenefitalternatives.com/UserFiles/File/Providers/Forms/FUM083-Outpatient%20Substance%20Use%20Disorder%20Treatment%20Request%20Form.pdf

Date added: November 8, 2013 - Views: 3

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Meeting attendance cards (CHITS) - NA Public Relations Website

Meeting attendance cards (CHITS) ... example where these form part of a Drug Treatment and Testing Order (DTTO). In accordance with our Traditions and with NA World Services suggested policy, and in the light of the positive experience of both AA and NA around the world, ...

http://na-pr.org/wp-content/uploads/2012/03/UKPI_Chits_Court_Cards_2005.pdf

Date added: October 25, 2012 - Views: 20

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Virginia Health Practitioners’ Monitoring Program Monthly ...

Monthly Group Attendance Report – Substance Use Disorder ... (Examples: AA, NA, CA, SA, Al-Anon, CODA, etc.) ... (Please fax this form to 804-828-5386 by the 10 th of the month. Thank you for your cooperation!) For Office Use Only:

http://www.dhp.virginia.gov/hpmp/forms/GroupAttendance_Monthly.pdf

Date added: December 1, 2012 - Views: 4

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POLICY AND OPERATING PROCEDURE SUPERSEDES

Alcoholics Anonymous (AA), Narcotics Anonymous (NA), Secular Organizations for Sobriety (SOS), or any faith based support groups a minimum of two (2) times ... Continue weekly attendance at community-based support groups activities a

http://www.tdcj.state.tx.us/documents/parole/03.08.01_parole_policy.pdf

Date added: November 20, 2012 - Views: 3

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PROBATION MONTHLY REPORT - Oakland County, Michigan

PROBATION MONTHLY REPORT ... which program and attach proof of attendance: AA/NA Meeting Treatment/Counseling How often do you attend? _____ ... Please sign below stating that all of the answers on this form are true to the best of your knowledge.

http://www.oakgov.com/courts/dc48/Documents/Probation/Mthly_Reporting_050307.pdf

Date added: July 23, 2014 - Views: 1

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House Summary Report - Oxford of Oregon

Monthly audit form attached: Yes No Comments (how is your house doing? AA-NA meeting attendance, conflicts, etc.) ... _____ Oxford House: A New Way of Living . Title: Microsoft Word - House Summary Report.doc Author: default Created Date: 4/2/2004 7:21:06 PM ...

http://or.oxfordhouse.us/FORMS/Monthly%20Housing%20Summary%20Report.pdf

Date added: March 13, 2013 - Views: 1

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PORT ORCHARD MUNICIPAL COURT

schedule of AA/ NA meetings in Kitsap County and reporting forms may be obtained at the ... proof of attendance filed with the Court on a court-approved form. DEFERRED PROSECUTION -- PROCEDURES:

http://www.cityofportorchard.us/docs/court/forms/form_9c.pdf

Date added: January 28, 2012 - Views: 16

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PRN Client Activity Report (CAR) Forms Instructions

83706), fax (208-323-9222), and/or email your monthly attendance form to the PRN office. Please be aware that a low meeting non-compliance letter will go ... o Mutual Support Groups (i.e. AA, NA or other 12 step) o Sponsor meetings o Group meetings (i.e. IOP, relapse prevention, ...

http://www.southworthassociates.net/resources/monitoring/physician-recovery-network?download=62%3Adoctor-car-instructions

Date added: February 4, 2014 - Views: 5

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Na Sign In Sheet

Aa Na Attendance Sheets To Sign Or Not To Sign Www. pacific health system rehab in san diego ... form continue reading [9] Na To Summary For National Bank Of Canada Yahoo Finance. view the basic na to stock chart

http://pdf.sibooksan.com/fldr_jan2010/na_sign_in_sheet.pdf

Date added: June 2, 2014 - Views: 3

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Recovery in NA is an ongoing process and members continue to ...

Making NA a priority in early recovery typically means regularly attending NA meetings and events, connecting with other members over the phone, and

http://www.na.org/admin/include/spaw2/uploads/files/EN3127.pdf

Date added: January 29, 2012 - Views: 4

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WSC RESIDENTIAL SCREENING Form 8-06 - West Slope Casa

AA NA OTHER _____ ATTENDANCE: Regular or ... check one - ( MUST ATTACH ASAM JUSTIFICATION SHEET ) : INTENSIVE RESIDENTIAL CWRS Grand Junction_____ INTENSIVE ... Title: Microsoft Word - WSC RESIDENTIAL SCREENING Form 8-06.doc Author: sally Created Date: 1/30/2007 ...

http://www.westslopecasa.org/Documents/WSC%20RESIDENTIAL%20SCREENING%20Form%208-06.pdf

Date added: January 5, 2013 - Views: 7

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How Effective Is AA and 12 Step Treatment?

How Effective Is AA and 12 Step Treatment? INTRODUCTION ... three fourths quit on their own without AA attendance either. ... AA, NA, or other 12 step groups are probably only a good fit for a minority of people with a

http://www.hamsnetwork.org/effective.pdf

Date added: February 8, 2014 - Views: 26