Carrie

  • Council Plan

    Agency Authorization/Job Description Addendum

    Confidentiality Agreement

    Job Description

    Practice Location(s)

    Council Verification - added upon termination by LCSW

  • Hours Log

  • Payment Agreement

    Contract

    License, ongoing by LMSW

    CV

    Insurance, ongoing by LMSW

    CSWA, if applicable

    Regulations Checklist

  • Sliding Scale Payment Record, if applicable

    1st Quarter

  • 1st Quarter