Blue Ridge Circuit DAC
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      • CM LORI HAGAMAN
      • CM CHRISTY HAMBY
      • CM KATIE MEADE
      • CM RUBY RAMIREZ
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      • CM LORI HAGAMAN
      • CM CHRISTY HAMBY
      • CM KATIE MEADE
      • CM RUBY RAMIREZ
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    • PROOF OF EMPLOYMENT/INCOME >
      • CM LORI HAGAMAN
      • CM CHRISTY HAMBY
      • CM KATIE MEADE
      • CM RUBY RAMIREZ
    • WORK SCHEDULE (AFTER CURFEW) >
      • CM LORI HAGAMAN
      • CM CHRISTY HAMBY
      • CM KATIE MEADE
      • CM RUBY RAMIREZ
    • DOCUMENTS AND FORMS

CASE MANAGEMENT CHECK-IN ONLINE

Case Management Online Check-in 

Please complete and submit at least 24 hours before your scheduled case management appointment.
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    Progress Assessment:

    Please Answer the following questions.

    General Status
    How many days have you been abstinent?
    Risk Factors: Situations that May Increase Your Risk for Relapse
    1. Medical
    2.  Mood
    3. Confidence
    4. Cravings
    5. Triggers
    6. High-Risk Situations
    7. Sober Activities
    8. Personal Goals
    What steps have you taken toward your personal goals?
    9. Meetings
    10. Sponsor
    11. Financial 
    12.  Plan
Submit

Picture
  • Home
    • OUR MISSION
  • WHAT DAC OFFERS
  • HOW TO APPLY
  • THE TEAM
    • STEERING COMMITTEE
  • GRADUATION
  • MORE
    • PAYMENT >
      • MAKE A PAYMENT
      • SUBMIT PROOF OF PAYMENT
    • PROOF OF COMMUNITY SUPPORT MEETING
    • CASE MANAGEMENT CHECK-IN >
      • CM LORI HAGAMAN
      • CM CHRISTY HAMBY
      • CM KATIE MEADE
      • CM RUBY RAMIREZ
    • PARTICIPANT REQUEST >
      • CM LORI HAGAMAN
      • CM CHRISTY HAMBY
      • CM KATIE MEADE
      • CM RUBY RAMIREZ
    • MEDICATION REQUEST
    • PROOF OF EMPLOYMENT/INCOME >
      • CM LORI HAGAMAN
      • CM CHRISTY HAMBY
      • CM KATIE MEADE
      • CM RUBY RAMIREZ
    • WORK SCHEDULE (AFTER CURFEW) >
      • CM LORI HAGAMAN
      • CM CHRISTY HAMBY
      • CM KATIE MEADE
      • CM RUBY RAMIREZ
    • DOCUMENTS AND FORMS