To place a client on the waiting list the following is needed:
Client screening completed
Drug & Alcohol PPC-2R assessment with placement criteria, to obtain a copy, click here.
Release of information for person(s) who may be checking the status of potential client on the waiting list.
Prior to a bed date for entry the following is needed:
Copy of current OHP card (Oregon Residents)
Back OHP premiums paid and proof of payment (Oregon Residents)
Resources to pay monthly OHP premiums (Oregon Residents)
List of medication currently taking
Resources to pay for medication while in treatment
Pictured ID
Copy of social security card
Current TB test
Current Medical History and Physical
Tribal ID (if applicable)
Download The Klamath Community Treatment Center Alcohol & Drug ASAM Assessment PPC-2R Form:
Click HERE To Download This Form. |