Participant Resources

Participant Forms

• • Progress Evaluation (PE)

• • Work Performance Evaluation (WPE)

• • Notice of address/employer change 

• • Short Term Medications

• • Medication Management Evaluation

• • Consent to Release Confidential Information to Third Party

• • Consent to Release Confidential Information for Facilitator/Co-Facilitator

• • Consent to Release Confidential Information for Individual Therapy

• • Consent to Release Confidential Information for Employer

• Consent to Release Confidential Information to Alternative Program

Links

• • IPN Participant Orientation Course

• • Frequently Asked Questions

May 2019

Post Test 25—Depression

Objectives:
1. To increase awareness of the existence of depression as a concurrent illness associated with chemical dependency
2. To recognize the importance of appropriate professional treatment for persons with dual diagnoses