Mid-South Substance Abuse Commission

General Forms

New Employee Verification Form 2006-2007

Record Retention Guidelines

HIPAA Compliance Forms 

HIPAA Brochure

HIPAA Privacy Notice-Spanish

ACKNOWLEDGEMENT OF NOTICE OF PRIVACY PRACTICES

Prevention Forms

Prevention Department Contact Form

Treatment Forms

Drug Court Billing Log Rev. Nov05

MSSAC Treatment Application

Women's Program Forms

Service Activity Log

Needs Checklist 2005-06

ODCP Required Women's Data Report

Forms for Specialty Programs

Ionia Jail Diversion Reporting 2005-06

Newaygo 2005-06 Reporting Requirements 

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2875 Northwind Dr., Ste. 215 * East Lansing, Michigan * 48823 * (517) 337-4406