• AHR Sponsor Ticket
  • AHR Sponsorship and Table Purchase
  • Appreciative Inquiry Interviews
  • ARCO Leadership Summit 2019 Agenda
  • ARCO LS 2019 Session Detail Submission
  • ARCO Session Evaluation
  • Atlantic OHH
  • Beta Testing Feedback
  • Beyond Brink Full Consent Test
  • Burlington OHH
  • C4R Check-In
  • C4R Contact
  • C4R Member Registration
  • clr
  • Communities For Recovery
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  • Donate
  • F&V Contract
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  • Focus RWC
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  • Illinois Stigma
  • Internal Survey
  • Kiosk 2.0 Template Form
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  • Kiosk Beyond Brink Form
  • Kiosk Cape Regional
  • Kiosk Cape Regional Form
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  • Kiosk Dee’s Place
  • Kiosk Dee’s Place Form
  • Kiosk Home 2.0 Template
  • Kiosk Home MOAR
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  • Kiosk Hope Coalition
  • Kiosk Hope Coalition Form
  • Kiosk Hope Rising
  • Kiosk Hope Rising Form
  • Kiosk Johnson City
  • Kiosk Johnson City Form
  • Kiosk Kentucky River District Health
  • Kiosk Kentucky River District Health Form
  • Kiosk Loudoun Serenity
  • Kiosk Loudoun Serenity Form
  • Kiosk MOAR
  • Kiosk Mountain Top
  • Kiosk Mountain Top Form
  • Kiosk MyPIR
  • Kiosk MyPIR Form
  • Kiosk Never Alone
  • Kiosk Never Alone Form
  • Kiosk New Way
  • Kiosk New Way Form
  • Kiosk Reality Check
  • Kiosk Reality Check Form
  • Kiosk Recovery Beyond
  • Kiosk Recovery Beyond Form
  • Kiosk RioGrande
  • Kiosk RioGrande Form
  • Kiosk RioGrande2
  • Kiosk Savannah
  • Kiosk Savannah Form
  • Kiosk Set Up Information
  • Kiosk Template Form
  • Kiosk Trilogy
  • Kiosk Trilogy Form
  • Kiosk Turning Point
  • Kiosk Turning Point Form
  • Kiosk Turning Point of Chittenden County
  • Kiosk Turning Point of Chittenden County Form
  • Kiosk Wakeup
  • Kiosk Wakeup Form
  • Kiosk Will Work for Recovery
  • Kiosk Will Work for Recovery Form
  • LRCC
  • LRCC Activity Check-in
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  • NJ CARS Forms
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  • RCCF1 Form
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  • Recovery Connection
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  • RMC NJ-CARS
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  • Serenity House of Flint
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  • Signature
  • Springs Recovery Connection
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  • TU Check-In
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  • USARA
  • USARA Activity Check-in
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  • Website Feedback
  • Wilkes Recovery Revolution Kiosk
  • WRR Kiosk
  • Uncategorized
Faces & Voices of Recovery Data Hub

  • Intake

    Please complete the intake form.
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  • If you do not have an address, please enter 000 Main Street.
  • Please enter (000)-000-0000 if you do not have a phone number
  • If you don't have an email address, please input "no@email.com".
  • Explanation: Information given to the Turning Point Center of Chittenden County is for data collection and helps us to secure funding for the Recovery Coaching Program. This information is confidential, your name and any other identifiers will not be shared with any outside person or agency without your written consent.
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  • Demographic/Substance Use History/Housing/Employment

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  • Justice Involvement

  • Intake Notes & Question Prompts

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  • Emergency Department Intake

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  • ED RC Log

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