Name - Client first name Client last name
Today's Date: Date
Overnight stays need to be approved by the House Leader/Asst Leader at least 24 hours in advance. You must be in compliance with all the house rules before approved and you must have been in the home for at least a minimum of 14 days.
**if you've tested positive returning from an overnight, or for any random UA/BA, you must have 60 continuous days of sobriety before you will be authorized to go on an overnight.
My initials here confirm that I am in compliance with all above and I've gotten approval for this overnight. Initials Text field
If you are self-pay or scholarship from a private IOP, no extra fees are due.
If you are with a County funded IOP, you will need to pay Empowering Potential Housing $30 per night for your missing nights (discounted nightly rate to try and help you the resident). Most programs - even HOSPITAL overnights need to by paid by the resident - sorry County of San Diego rules - not EPH.
We prefer Zelle or Venmo to empoweringpotentialhousing@gmai.com. If you need help paying, please call Rachel at 619-500-3987 to make arrangements.
Missing Night(s):
Date