formerly St. Joseph Orphanage (855) 577-PATH (7284)
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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

Video Conference

Sign form to participate in tele-health services

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

Designee Form

Sign Agreement after reviewing with your provider

Intake Paperwork

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

Intake Paperwork

Intake Packet for Diagnostic Assessments

Authorization Release Form – Blank

Additional Authorization Forms (Blank Provider)

Fee Agreement

Complete Fee Agreement

Form 100 (Butler)

Complete Form 100 (Butler County)

JVC Forms

JVC T4C/VAP Intake

Complete HCJVC Intake for T4C/VAP Groups

JVC Safety Contract

Complete JVC Safety Contract

JVC SUD Intake & Release Forms

SUD Intake Release Forms for HC JVC

JVC SUD

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

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

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

Resources

These links may be helpful for you!

Orientation Booklet

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Medical Welcome Booklet

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Level of Care Tool

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CCHMC Patient Resources

Access forms and resources through CCHMC