Paperwork

ALL PAPERWORK MUST BE TURNED IN WITHIN 48 HOURS.

How to turn in paperwork:

Call Allyson, Director of Advocacy Services (Preferred Method)

Office Phone: 847-806-6526 x190 or via Cell

Fax to: 847-806-6531

OR

Physically drop off or mail to Arlington Heights or McHenry office location (see "Agency Info" page for addresses) .

(If choosing to mail, drop off or fax paperwork please email, call or text Allyson prior so that we can watch for the documentation to arrive and ensure staff are present at the office. Paperwork cannot be turned in via email.)

INFONET

Please use infonet for anything marked on the paperwork with an asterick*.

Infonet Reference List.pdf

HOTLINE CALLS

CRISIS INTERVENTION FORM

Hotline Form - Crisis Intervention.pdf

CRISIS INTERVENTION EXAMPLE FORM

Hotline Form - Crisis Intervention Example.pdf

CARE CENTER - CRISIS INTERVENTION FORM

CARE Center Hotline Form - Crisis Intervention.pdf

INFORMATION & REFERRAL

INSTITUTIONAL ADVOCACY FORM

Information and Referral, Intuitional - Hotline Form.pdf

INFORMATION & REFERRAL

INSTIUTIONAL ADVOCACY EXAMPLE FORM

Hotline I R-Institutional Advocacy EXAMPLE.pdf

CARE CENTER - INFORMATION & REFERRAL

INSTITUTIONAL ADVOCACY FORM

CARE Center Hotline I R-Institutional Advocacy Form revised 8-5-20.pdf

HOSPITAL CALLS

*Same form for both locations. CARE Center forms should indicate in upper right corner "CARE Center" .

HOSPITAL INTAKE DATA ENTRY FORM

Hospital Intake Data Entry Form 4-2020.pdf

HOSPITAL INTAKE DATA ENTRY FORM EXAMPLE

Hospital Intake Data Entry Form EXAMPLE.pdf

CARE CENTER - HOSPITAL INTAKE DATA ENTRY FORM

CARE Intake Data Entry Form 2-2021.pdf

HOSPITAL CALLS - CONSENT FOR ADVOCACY

*Consent for Advocacy forms are located at the back of the AH Hospital Packet.*

CONSENT FOR ADVOCACY - ENGLISH

Consent for Advocacy Services & Civil Rights Compliance Form.pdf

CONSENT FOR ADVOCACY EXAMPLE

Consent for Advocacy Services & Civil Rights Compliance Form - Example.pdf

CONSENT FOR ADVOCACY - SPANISH

Consent for Advocacy Services & Civil Rights Compliance Form - Spanish.pdf