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 ...
Date added: October 21, 2011 - Views: 1033
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.
Date added: July 27, 2014 - Views: 1
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.
Date added: March 28, 2012 - Views: 100
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.
Date added: December 27, 2012 - Views: 186
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
Date added: February 17, 2012 - Views: 351
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:
Date added: January 28, 2012 - Views: 109
12 Step Meeting Attendance Sheet AA/NA/CA/DRA/GA Name: _____ Phase :_____ Week of:_____
Date added: October 25, 2012 - Views: 179
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
Date added: October 25, 2012 - Views: 94
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
Date added: January 5, 2013 - Views: 3
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
Date added: October 31, 2011 - Views: 94
Verification of Meeting Attendance Student Name _____ PID# _____ _____ Date/Time of Meeting _____ Meeting Location ... Verification of Meeting Attendance (AA, NA, MA)
Date added: May 6, 2013 - Views: 19
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 ...
Date added: May 3, 2013 - Views: 112
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
Date added: February 3, 2012 - Views: 286
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
Date added: August 12, 2013 - Views: 9
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.
Date added: May 10, 2013 - Views: 56
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,
Date added: March 7, 2012 - Views: 25
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
Date added: January 27, 2014 - Views: 5
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
Date added: May 13, 2013 - Views: 5
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 ...
Date added: March 5, 2012 - Views: 15
Attendance Verification Sheet _____ is to attend AA/NA meetings as ordered by the Judicial District Community Supervision and Corrections Department.
Date added: May 3, 2013 - Views: 60
Attendance at Narcotics Anonymous and Alcoholics Anonymous meetings, frequency of attendance and substance use outcomes after residential treatment
Date added: March 28, 2012 - Views: 37
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 ...
Date added: April 16, 2013 - Views: 6
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 ...
Date added: August 30, 2014 - Views: 1
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
Date added: November 6, 2011 - Views: 33
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:
Date added: May 14, 2013 - Views: 22
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, ...
Date added: March 25, 2012 - Views: 1
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.
Date added: February 16, 2014 - Views: 4
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:
Date added: April 14, 2014 - Views: 13
United States District Court Probation Office District of Wyoming NA/AA VERIFICATION OF ATTENDANCE Name: _____ Month: _____
Date added: June 13, 2012 - Views: 12
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
Date added: May 17, 2013 - Views: 4
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.
Date added: September 27, 2012 - Views: 14
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:
Date added: August 30, 2014 - Views: 1
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:
Date added: May 17, 2013 - Views: 5
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 ...
Date added: November 8, 2013 - Views: 3
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, ...
Date added: October 25, 2012 - Views: 20
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:
Date added: December 1, 2012 - Views: 4
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
Date added: November 20, 2012 - Views: 3
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.
Date added: July 23, 2014 - Views: 1
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 ...
Date added: March 13, 2013 - Views: 1
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:
Date added: January 28, 2012 - Views: 16
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, ...
Date added: February 4, 2014 - Views: 5
Aa Na Attendance Sheets To Sign Or Not To Sign Www. pacific health system rehab in san diego ... form continue reading  Na To Summary For National Bank Of Canada Yahoo Finance. view the basic na to stock chart
Date added: June 2, 2014 - Views: 3
Making NA a priority in early recovery typically means regularly attending NA meetings and events, connecting with other members over the phone, and
Date added: January 29, 2012 - Views: 4
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 ...
Date added: January 5, 2013 - Views: 7
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
Date added: February 8, 2014 - Views: 26