ODAT Recovery Homes Inc.
Mission Statement: Offering the hope needed to pass through the Triumphal Arch a Free Man.
This agreement is between, Client first nameClient last name___ (resident/client) and manager; and/or owners of ODAT Recovery Homes Inc. Resident agrees to voluntarily participate and reside in the recovery environment/home at 106 Creekside Ct, Gallatin TN 37066
This agreement is a recommended 6-month term effective_Date_______ to _Date_______. This agreement may be renewed or amended if agreed on and approved by management and owners of ODAT Recovery Homes Inc.
I agree and understand that residence at ODAT Recovery Homes Inc is pursuant to Tennessee Code Annotated 66-28-102 (c)(1), which states residence at an institution, public or private if incidental to detention or the provision of medical, geriatric, educational, counseling, religious, or similar service is not subject to the provisions of the Uniform Residential Landlord and Tenant Act of Tennessee. In other words, this agreement is not a lease, and notice is not required by ODAT Recovery Homes Inc to discharge a Resident for violation of institution guidelines.
Resident Signature: _Signature_______ Date: __Date_________
Personal Information:
Date:_Date_________________ Name:Client first nameClient last name_______________________________________________________
Prior Address:Client Address________________________________________________________________________
Phone:_Client phone_______________________________E-mail:_Client email_______________________________________
DOB:_Client birthdate____________________________ DOC:_Client facility____________________________________________
Marital Status:_Client marital status_______________________ Spouse Name:_Text field____________________________________
Emergency Contact Name:_Family Members_______________________ Emergency Contact Phone:_Text field________________
Relationship:_Text field_______________________________
I_Client first nameClient last name_______________________ give ODAT Recovery Homes Inc permission and consent to contact my emergency contact, in case of emergency.
Date of Arrival:_Date_______________________________________
Are you currently on probation or parole? (Checkboxes Yes Checkboxes No)
Probation Officer Name:_Probation_______________________________PO Phone #:_Text field_____________________
I _Client first nameClient last name___________________give consent to ODAT Recovery Homes Inc to contact and to be contacted by my probation officer.
Do you have any outstanding warrants and/or any pending charges? If yes, explain:
Resident Signature: Signature________________________ Date: _Date__________
ODAT Recovery Homes Inc
Financial Transparency Agreement
Client Name: Client first nameClient last name Date: Date
Due at entry into ODAT Recovery Homes Inc. The first week’s payment and entry fee ($225/week and application fee $300) for a total of $525 must be paid before resident moves in, and the continued $225 per week will be due thereafter.
Initial: Initials Text field I understand that I will be responsible to pay $225 per week for the duration of my stay at ODAT Recovery Homes Inc.
Absolutely NO REFUNDS will be given if a resident leaves ODAT Recovery Homes Inc.
Initial: Initials Text field ____I understand that ODAT Recovery Homes Inc will not give any refunds.
Residents will be required to provide all personal hygiene products such as toothbrushes, toothpaste, deodorant, body wash, shampoo, conditioner, high efficiency laundry detergent, and any other personal care product that the resident desires.
Initial: Initials Text field________ I understand that I am responsible for all personal hygiene products, as well as high efficiency laundry detergent.
Resident Name: Client first nameClient last name
Resident Signature: Signature
Entree Fee:_Text field___________________
Weekly : Text field