District Court Probation Officer Referral Form

Probation Officer Name(Required)

Probationer Email(Required)

Court(Required)

Case Number(Required)

Offense(Required)

Client Name(Required)

First Last

Date of Birth(Required)

Phone(Required)

ETRS Educational Programs

Alcohol Education 2-day (13.0 hrs / $200)

Alcohol Education 1-day (6.5 hrs / $120)

Anger Management Weekend (13.0 hrs / $200)

Anger Management One Day (6.5 hrs / $120)

Retail Fraud One Day (4.0 hrs / $100)

ETRS Programs

10 Week Alcohol and other Drugs - $300 (10 sessions, utilizes interactive journal)

CBT-Concentrate on Better Thinking/Positive Options - $200 (8 Sessions, utilizes interactive journaling)

Economic Crime (Retail Fraud/Theft) Multi-Session Program - $120 for 7.5 hrs

Domestic Abuse 1 Day Orientation ($100) + 26 weeks ($30/week)

Domestic Abuse 1 Day Orientation ($100) + 52 weeks ($30/week)

Outpatient Relapse Prevention Program (14 weeks) - $500

ETRS Evaluations + Assessments

Substance Abuse Assessment (includes 4-panel drug screen) - $150

Driver's License Assessment (includes 12-panel drug screen) - $350

Domestic Violence Assessment - $100

Mental Health Assessment - $200

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