Epoch Counseling Center

Helpful Forms

AA/NA Meeting Slip

Addiction TB Assessment

Admission Summary Form

Authorization for Treatment for OP & IOP

Consent for Release of Confidential Information Form

DUI Education Program Guidelines

DUI Education Authorization for Treatment

Family Needs Assessment

Infectious Disease Fact Sheet

Infectious Disease Risk Assessment

Informed Consent

Insurance Forms

Michigan Alcohol Screening Test (MAST)

Program Guidelines for OP & IOP

Self-Assessment Test for Alcohol and Drug Use

Services Offered at Epoch Counseling Center

Substance Use History Form

Suicide Risk Assessment Form

Walk-in Urinalysis Agreement