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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
INFONET
Please use infonet for anything marked on the paperwork with an asterick*.
Infonet Reference List.pdfTOWNSHIP INFO:
TOWNSHIP INFO:
HOTLINE CALLS
HOTLINE CALLS
CRISIS INTERVENTION FORM
CRISIS INTERVENTION FORM
Hotline Form - Crisis Intervention.pdfCRISIS INTERVENTION EXAMPLE FORM
CRISIS INTERVENTION EXAMPLE FORM
Hotline Form - Crisis Intervention Example.pdfCARE CENTER - CRISIS INTERVENTION FORM
CARE CENTER - CRISIS INTERVENTION FORM
CARE Center Hotline Form - Crisis Intervention.pdfINFORMATION & REFERRAL
INFORMATION & REFERRAL
INSTITUTIONAL ADVOCACY FORM
INSTITUTIONAL ADVOCACY FORM
Information and Referral, Intuitional - Hotline Form.pdfINFORMATION & REFERRAL
INFORMATION & REFERRAL
INSTIUTIONAL ADVOCACY EXAMPLE FORM
INSTIUTIONAL ADVOCACY EXAMPLE FORM
Hotline I R-Institutional Advocacy EXAMPLE.pdfCARE CENTER - INFORMATION & REFERRAL
CARE CENTER - INFORMATION & REFERRAL
INSTITUTIONAL ADVOCACY FORM
INSTITUTIONAL ADVOCACY FORM
CARE Center Hotline I R-Institutional Advocacy Form revised 8-5-20.pdfHOSPITAL CALLS
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
Hospital Intake Data Entry Form 4-2020.pdfHOSPITAL INTAKE DATA ENTRY FORM EXAMPLE
HOSPITAL INTAKE DATA ENTRY FORM EXAMPLE
Hospital Intake Data Entry Form EXAMPLE.pdfCARE CENTER - HOSPITAL INTAKE DATA ENTRY FORM
CARE CENTER - HOSPITAL INTAKE DATA ENTRY FORM
CARE Intake Data Entry Form 2-2021.pdfHOSPITAL CALLS - CONSENT FOR ADVOCACY
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 - ENGLISH
Consent for Advocacy Services & Civil Rights Compliance Form.pdfCONSENT FOR ADVOCACY EXAMPLE
CONSENT FOR ADVOCACY EXAMPLE
Consent for Advocacy Services & Civil Rights Compliance Form - Example.pdfCONSENT FOR ADVOCACY - SPANISH
CONSENT FOR ADVOCACY - SPANISH
Consent for Advocacy Services & Civil Rights Compliance Form - Spanish.pdfPage updated
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