Addiction & Recovery Services Form Templates

Addiction Counseling Client Referral Form

A comprehensive referral intake form for addiction counseling practices to capture client information, treatment preferences, insurance details, and therapy options for substance abuse and behavioral addiction services.

Addiction Counseling Practice Client Referral Form

A comprehensive client referral form for addiction counseling practices to collect essential information about potential clients, including addiction type, treatment preferences, insurance details, and group therapy eligibility.

Addiction Counselor Certification Track Application

Apply for addiction counselor certification pathways including CAC and CADC credentials, with recovery support experience verification and supervised hours tracking setup.

Addiction Counselor Performance Appraisal Form

Comprehensive performance evaluation for addiction counselors assessing client outcomes, treatment effectiveness, facilitation skills, and crisis intervention capabilities.

Addiction Intervention Services Inquiry Form

A compassionate inquiry form for families seeking professional addiction intervention services, collecting essential information about substance use, living situation, insurance coverage, and treatment readiness.

Addiction Recovery Aftercare Planning Template Download

Download a comprehensive aftercare planning template to support your recovery journey. Get personalized resources based on your recovery stage, support needs, and goals.

Addiction Recovery Center Expense Report & Grant Tracking Form

Comprehensive expense reporting form for addiction recovery centers with grant fund tracking, insurance billing allocation, sliding scale client cost tracking, and compliance documentation for program materials and staff training expenses.

Addiction Recovery Center Family Education Event Planning Form

Plan and register for family education events at addiction recovery centers. Collect attendee information, program interests, insurance details, and coordinate visitation arrangements for comprehensive family support.

Addiction Recovery Center Lost Property Claim Form

A comprehensive property claim form for addiction recovery facilities to help clients reclaim personal belongings with proper verification and counselor authorization.

Addiction Recovery Center Stakeholder Interview Form

Gather valuable insights from counselors, recovering individuals, family members, and healthcare partners to shape your addiction recovery center's treatment programs, facility design, and support services.

Addiction Recovery Coach Intake Form

A compassionate intake form for addiction recovery coaches to gather essential client information including substance use history, sobriety status, treatment background, triggers, support systems, and recovery goals.

Addiction Recovery Coaching Waitlist Form

Join our recovery coaching waitlist to receive personalized support on your journey to lasting sobriety and wellness.

Addiction Recovery Conference Speaker Submission Form

Submit your proposal to speak at our addiction recovery conference. Share your personal recovery journey, evidence-based approach, and peer support experience to inspire and educate attendees.

Addiction Recovery Continuing Care Plan Approval

Streamline the approval process for continuing care plans in addiction recovery facilities. This form captures treatment milestones, aftercare services, insurance coverage, and counselor authorization for seamless transitions.

Addiction Recovery Family Resource Guide Download

Download our comprehensive family resource guide for addiction recovery. Learn about treatment programs, verify insurance coverage, and start the admission process to support your loved one's journey to recovery.

Addiction Recovery Group Meeting Room Booking Form

A specialized room booking form for addiction recovery and support groups to schedule meeting spaces with facilitator verification, anonymity protections, and essential amenities like seating arrangements and coffee service.

Addiction Recovery Housing Application Form

A comprehensive application form for individuals seeking admission to addiction recovery housing programs. Captures personal information, recovery history, sobriety commitment, treatment completion, employment status, and house rules acknowledgment.

Addiction Recovery Housing Complaint Escalation Form

A comprehensive complaint escalation form for addiction recovery housing facilities to document safety concerns, program violations, resident rights issues, and coordinate with licensing authorities.

Addiction Recovery Housing Grant Application

Comprehensive grant application form for addiction recovery housing programs seeking funding to provide evidence-based residential treatment, peer support services, and employment assistance.

Addiction Recovery Monitoring & Sobriety Tracker

Track sobriety milestones, identify relapse triggers, and monitor support group attendance for addiction recovery programs. A comprehensive check-in form for patients and counselors.

Addiction Recovery Outpatient Clinic Lease Application

A comprehensive lease application form designed for addiction recovery outpatient clinics seeking specialized healthcare facilities with counseling rooms, group therapy spaces, and treatment areas.

Addiction Recovery Program Emergency Contact Form

Comprehensive emergency contact form for addiction recovery programs to collect sponsor information, relapse triggers, treatment status, and critical support contacts for participant safety.

Addiction Recovery Program Family Education Night Feedback Form

Gather valuable feedback from family members who attended your addiction recovery program's education night, covering treatment approach clarity, visitation policies, insurance guidance, and support group information.

Addiction Recovery Program Impact Report

Track treatment outcomes, sobriety milestones, employment rates, and family reunification data to demonstrate the impact of your addiction recovery programs to donors and stakeholders.

Addiction Recovery Program Participant Satisfaction Survey

A comprehensive satisfaction survey for addiction recovery program participants to provide feedback on counselor support, facility environment, program structure, and access to recovery resources.

Addiction Recovery Program Upsell Form

A compassionate, conversion-optimized form that offers valuable add-ons to enhance addiction recovery treatment programs including family therapy, extended care, holistic treatments, and insurance coordination support.

Addiction Recovery Residence Visitor Registration Form

A compassionate visitor registration form for addiction recovery residences that supports resident sobriety, maintains safety protocols, and ensures trauma-informed communication during family and friend visits.

Addiction Recovery Specialist Application Form

A comprehensive application form for hiring addiction recovery specialists with CADC credentials, crisis intervention certification, and experience in evidence-based practices and co-occurring disorders.

Addiction Recovery Sponsor Readiness Self-Assessment

Evaluate your readiness to become a recovery sponsor with this comprehensive self-assessment covering program knowledge, boundary setting, and crisis intervention skills.

Addiction Treatment Center Admission Form

A comprehensive admission form for addiction treatment centers to collect patient information, substance use history, insurance details, and verify bed availability for incoming clients.

Addiction Treatment Center Contact Form

A compassionate, confidential contact form for addiction treatment centers to assess client needs, verify insurance, determine appropriate treatment level, and provide immediate crisis support.

Addiction Treatment Center Counselor Account Creation Form

A comprehensive account provisioning form for addiction treatment counselors, managing access to patient records, group sessions, treatment plans, and insurance verification systems.

Addiction Treatment Center Counselor NDA & Confidentiality Agreement

A comprehensive non-disclosure and confidentiality agreement for addiction treatment counselors, ensuring SAMHSA-compliant protection of patient recovery data and treatment protocols.

Addiction Treatment Center Focus Group Recruitment Form

A professional screening form to recruit intake coordinators from addiction treatment centers for focus group participation, gathering insights on bed capacity, insurance acceptance, treatment modalities, and family involvement approaches.

Addiction Treatment Center Intake Form

A comprehensive intake form for addiction treatment centers to collect essential patient information, substance use history, withdrawal symptoms, previous treatment attempts, and recovery support systems.

Addiction Treatment Center Password Reset Request

A secure password reset and account recovery form designed for addiction treatment centers. Verify staff identity and restore access to electronic health record systems safely.

Addiction Treatment Center Supplier Registration Form

Comprehensive supplier onboarding form for addiction treatment centers with DEA licensing verification, medication security protocols, and emergency supply procedures.

Addiction Treatment Center Therapeutic Resources Purchase Request Form

A comprehensive internal purchase request form for addiction treatment centers to procure therapeutic resources, ensuring evidence-based program alignment, insurance coverage validation, and outcome tracking capabilities.

Addiction Treatment Center VPN Access Request

Secure VPN access request form for addiction treatment center staff to access patient intake, treatment planning, and insurance verification systems remotely.

Addiction Treatment Consultation Request Form

Professional consultation request form for addiction treatment centers to collect client information, insurance details, treatment needs, and facility accreditation. Streamline intake and connect clients with appropriate care.

Addiction Treatment Facility Damage Claim Form

A comprehensive damage claim form for addiction treatment facilities to report incidents while ensuring client program continuity, maintaining accreditation standards, and coordinating with insurance and state certification requirements.

Addiction Treatment Facility Expansion Project Progress Report

Comprehensive weekly progress report for addiction treatment facility expansion projects, tracking licensing, renovations, staff credentialing, insurance contracts, and patient intake readiness.

Addiction Treatment Facility Incident Report

A comprehensive incident reporting form for addiction treatment facilities to document patient relapses, contraband discoveries, safety concerns, and clinical interventions in a structured and compliant manner.

Addiction Treatment Facility Patient Complaint Escalation Form

A comprehensive escalation form for addiction treatment facilities to manage patient complaints involving clinical care quality, insurance authorization issues, and accreditation body notifications.

Addiction Treatment Program Admission Approval Form

Streamline admission requests for addiction treatment programs with clinical assessment, insurance verification, bed availability checks, and clinical director authorization in one comprehensive form.

Addiction Treatment Program Information Request Form

A confidential form for individuals seeking information about addiction treatment programs, including substance or behavioral concerns, insurance details, and preferred treatment approaches.

Collaborative Justice Court Alumni Mentor Application

A comprehensive application form for court alumni interested in becoming peer mentors, assessing recovery stability, training readiness, and time commitment for supporting participants in collaborative justice programs.

College Scholarship Application for Students in Recovery

A comprehensive scholarship application designed for students in recovery seeking financial assistance. This form collects information about sobriety support program enrollment, peer mentorship, relapse prevention planning, and academic goals.

Court-Ordered Treatment Housing Application

A comprehensive housing application for individuals in court-ordered treatment programs, including legal mandate documentation, compliance monitoring consent, and probation officer verification.

Dual Diagnosis Residential Treatment Application

A comprehensive application form for residential treatment programs specializing in dual diagnosis care, including psychiatric medication management, substance abuse counseling, and trauma-informed therapy services.

Gambling Self-Exclusion Program Address Verification Form

Verify your identity and residence to enroll in a gambling self-exclusion program. Upload government ID, proof of address, and casino membership details for confidential processing.

Health Milestone Celebration Form

Celebrate recovery anniversaries with loved ones through heartfelt invitations, gratitude sharing, and wellness planning for your continued journey.

Intensive Outpatient Program (IOP) Enrollment Form

Streamline enrollment for intensive outpatient mental health and substance abuse programs with comprehensive intake, scheduling, and insurance verification.

Medical Detox Admission Form

A comprehensive medical detox intake form for assessing substance dependence severity, withdrawal risks, co-occurring mental health conditions, and medication-assisted treatment eligibility.

Medical Director Wellness Check - Residential Substance Abuse Treatment

A comprehensive wellness check form for medical directors overseeing residential substance abuse treatment programs, covering detoxification protocols, medication-assisted treatment, co-occurring disorders, and recovery philosophy alignment.

Medication-Assisted Treatment Counselor Training Application

Apply for specialized MAT counselor training to support patients through addiction recovery using evidence-based pharmacotherapy and harm reduction approaches.

Medication-Assisted Treatment (MAT) Program Coordinator Evaluation Form

Comprehensive evaluation form for MAT program coordinators to track patient medication effectiveness, craving reduction, side effect management, counseling integration, and long-term recovery outcomes.

Peer Recovery Coach Certification Request Form

A professional certification request form for individuals seeking peer recovery coach credentials, including state credentialing requirements, ethical boundaries training, and recovery capital assessment.

Prenatal Housing Application for Women in Recovery

Housing application for pregnant women in recovery programs with prenatal care compliance, parenting education enrollment, and infant care planning.

Professional Organizing for Addiction Recovery Assessment

A comprehensive assessment form for professional organizers working with clients in addiction recovery to create trigger-free environments, establish supportive routines, and build accountability systems.

Recovery Center Counselor Exit Checklist

A comprehensive exit form for recovery center counselors that ensures smooth client treatment transitions, documents relapse prevention protocols, and captures certification and authorization details during staff offboarding.

Recovery Center Intake Assessment & Pre-Authorization

Comprehensive intake assessment form for recovery centers that streamlines patient information collection, insurance pre-authorization, program selection, and family involvement coordination in one secure workflow.

Recovery Coaching Certification Readiness Assessment

Evaluate your readiness for recovery coaching certification by assessing your motivational interviewing skills, relapse prevention knowledge, and understanding of harm reduction principles.

Recovery Community Center Resource Feedback Form

Comprehensive feedback form for recovery community centers to evaluate peer support effectiveness, relapse prevention programming, employment assistance, and long-term abstinence outcomes for accreditation and funding reporting.

Recovery Housing Quality and Safety Whistleblower Form

A confidential form for reporting quality and safety concerns in recovery housing facilities, aligned with NARR standards and resident protection protocols.

Recovery Housing Vendor Registration Form

A comprehensive vendor registration form for recovery housing providers, capturing facility details, evidence-based practices, peer support capabilities, and community integration resources.

Residential Addiction Treatment Application

A comprehensive application form for residential addiction treatment programs that assesses substance use history, withdrawal management needs, and co-occurring mental health conditions.

Residential Internet Addiction Treatment Application

A comprehensive application form for individuals seeking admission to a residential treatment program for internet addiction, featuring digital detox protocols and real-world social skills development.

Residential Treatment Application for Trichotillomania

Apply for admission to our residential treatment program specializing in trichotillomania recovery using evidence-based approaches including habit reversal training, sensory substitution therapy, and anxiety management techniques.

Residential Treatment Center Permit Application

Apply for a permit to operate a residential substance abuse treatment center. Includes facility capacity, staff credentials, medical oversight, detox protocols, and accreditation information.

Residential Treatment Facility Application

Complete application for residential mental health treatment programs with insurance pre-authorization and family involvement consent.

Residential Treatment for Kleptomania Application

Apply for residential treatment focused on impulse control therapy, restitution planning, and addressing underlying emotional needs related to kleptomania.

Residential Treatment for Video Game Addiction Application

A comprehensive application for residential video game addiction treatment programs that assesses screen time habits, explores alternative activities, and evaluates family dynamics to create an effective recovery plan.

Residential Treatment Program Application - Fire-Setting Behavior

Apply for specialized residential treatment for fire-setting behavior with comprehensive fire safety education, impulse control therapy, and family fire prevention planning.

Residential Treatment Program Application for Adolescent Depression

Comprehensive application form for adolescent residential mental health treatment programs, including intake assessment, safety evaluation, academic planning, and family visitation preferences.

Residential Treatment Program Application for Dermatillomania

Apply for specialized residential treatment for dermatillomania (skin-picking disorder) with comprehensive therapy including habit reversal training, competing response techniques, and anxiety management.

Residential Treatment Program Application - Sexual Compulsivity Recovery

A comprehensive application for residential treatment programs specializing in sexual compulsivity recovery, including behavior pattern assessment, accountability planning, and partner support coordination.

Residential Wilderness Therapy Application

Application form for residential wilderness therapy programs focused on substance abuse treatment with outdoor readiness assessment and adventure-based therapy consent.

Sober Living Facility Audit Checklist

A comprehensive audit and compliance checklist for addiction recovery sober living facilities to track house rules enforcement, drug testing procedures, resident accountability, safety inspections, and program compliance verification.

Sober Living Home Application Form

A comprehensive application for individuals seeking admission to a sober living home, including recovery program verification, sponsor information, and house meeting commitments.

Sober Living Home Application & Orientation Form

A comprehensive application and orientation form for individuals seeking admission to a sober living home, covering personal background, recovery journey, house rules acknowledgment, and peer support coordination.

Sober Living House Permit Application

Professional permit application for establishing and operating a sober living house, including facility details, house manager qualifications, resident rules, drug testing protocols, and substance-free environment verification.

Sober Living Inquiry Form

A comprehensive inquiry form for individuals seeking placement in a sober living facility, capturing essential information about sobriety, program history, employment, and housing readiness.

Student Health Psychiatrist to Collegiate Recovery Program Referral Form

A comprehensive referral form for student health psychiatrists to refer students with substance use disorders to collegiate recovery programs, including assessment of academic support needs, housing requirements, and peer recovery services.

Substance Abuse Counseling Recording Consent Form

Professional recording consent form for substance abuse counseling sessions, designed for recovery programs tracking treatment progress, court-ordered compliance, and group therapy supervision.

Substance Abuse Intake Form

A comprehensive substance abuse intake form for addiction treatment centers and recovery programs to gather patient history, withdrawal symptoms, and recovery preferences.

Substance Abuse Treatment Agreement

A comprehensive treatment agreement for substance abuse programs covering program requirements, consent, confidentiality, drug testing protocols, payment arrangements, and discharge criteria.

Substance Abuse Treatment Center Employee Handbook Acknowledgment Form

A comprehensive employee acknowledgment form for substance abuse treatment centers covering confidentiality requirements under 42 CFR Part 2, relapse prevention protocols, MAT policies, and discharge planning procedures.

Substance Abuse Treatment Grant Application Form

Comprehensive grant application for substance abuse treatment programs seeking funding for evidence-based interventions, MAT services, recovery housing, and relapse prevention initiatives.

Substance Abuse Treatment Grant Outcomes Report

Report treatment outcomes, client completion rates, sobriety milestones, relapse prevention metrics, and aftercare engagement for substance abuse treatment grant funders.

Substance Abuse Treatment Intake Form

A comprehensive intake form for substance abuse treatment programs to assess addiction history, withdrawal risks, detox needs, insurance information, and recovery goals.

Substance Use Screening & Assessment Form

A confidential pre-visit substance use screening form featuring the CAGE questionnaire, readiness to change assessment, and detox safety evaluation for addiction medicine providers.

Free Form Templates — Addiction & Recovery Services Web Form Templates