Staff Resources

Forms Available with E-Sign

If you have questions or experience issues, please contact: TreatmentPlan@newpath.org

Treatment Plan

Sign Treatment Plan after reviewing with your provider

Sign Treatment Plan

Video Conference

Sign form to participate in tele-health services

Sign Form

Medical Forms

If you have questions or experience issues, please contact: Nursing@newpath.org

Controlled Substance Patient Agreement

Sign Agreement after reviewing with your provider

Sign Agreement

Designee Form

Sign Agreement after reviewing with your provider

Sign Form

Intake Paperwork

If you have questions or experience issues, please contact: Admissions@newpath.org

Intake Paperwork

Intake Packet for Diagnostic Assessments

Begin Intake Paperwork

Authorization Release Form – Blank

Additional Authorization Forms (Blank Provider)

View Form

Fee Agreement

Complete Fee Agreement

View Form

Form 100 (Butler)

Complete Form 100 (Butler County)

View Form

JVC Forms

JVC T4C/VAP Intake

Complete HCJVC Intake for T4C/VAP Groups

View Form

JVC Safety Contract

Complete JVC Safety Contract

View Form

JVC SUD Intake & Release Forms

SUD Intake Release Forms for HC JVC

View Form

JVC SUD

SUD Release Forms for HC JVC (if client already complete intake paperwork)

View Form

School Partner

If you have questions or experience issues, please contact: Admissions@newpath.org

School District Consent & Authorization Releases

School District Consent for Services and Authorization for Release Forms

View Form

Engagement

If you have questions or experience issues, please contact: Admissions@newpath.org

Engagement Plan

Engagement Plan – Staff complete with client & guardian. Guardian or Client (18+) will sign

View Form

Resources

These links may be helpful for you!

Orientation Booklet

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Open

Medical Welcome Booklet

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Open

Level of Care Tool

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Open

CCHMC Patient Resources

Access forms and resources through CCHMC

Visit CCHMC