AOD (Alcohol and Other Drugs) Outpatient Relapse Prevention Program (14 weeks) STAFF

Name: AOD (Alcohol and Other Drugs) Outpatient Relapse Prevention Program (14 weeks) STAFF
SKU: 12886
Availability: InStock

Substance Abuse Evaluation ($165) + ALL 14 Classes: $490 TOTAL
Substance Abuse Evaluation ($165) + First Class only: $200 TOTAL
Pay for Single Class: $35

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AOD (Alcohol and Other Drugs) Outpatient Relapse Prevention Program (14 weeks) STAFF

First Name*

Last Name*

Date of Birth*

Court*

Are you an MDOC client or a Private client?*

MDOC Client

Private (non-MDOC) Client

Please enter your MDOC number:*

Probation Officer Name*

Case Number

Your Email Address*

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ZIP / Postal Code

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B.A.C. (if it was an alcohol offense)

Do you have any prior offenses?

yes

If yes, how many?

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