First NameClient first name
Last NameClient last name
1. All clients must make a minimum of 4 self help meetings a week.
2. All clients must have a sponsor, home group and commitment in the first 30 days in orderto get off of Blackout.
3. All clients must sign a Release of Information form for their UA results if they are attendingany IOP or OP sessions.
4. All clients that are not employed must make 7 meetings per week 1 meeting per day at theleast.
5. All clients with a history of overdose must be on the Vivitrol shot at least the first 6 monthsat Ryse Recovery.
6. All clients must start step work after 30 days after admitting to Ryse Recovery.
This client understand that if these requirements are not met I am subjected to administrative discharge.
By continuing, you agree that your electronic signature is the legally binding equivalent to your handwritten signature. Whenever you execute an electronic signature, it has the same validity and meaning as your handwritten signature. You will not, at any time in the future, repudiate the meaning of your electronic signature or claim that your electronic signature is not legally binding.