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Templates & Samples

Below are templates and samples of policies/protocols/procedures for download.  Feel free to review and use any of the documents.

 

 Survey Template 

 

Spanish Survey Template 

 

Other Templates

Release of Information

Client Notice of Rights/Confidentiality

Client Intake Form 

 

TANF Affidavit

English Affidavit

Spanish Affidavit 

 

Sample Policies/Protocols/Procedures

Sheltering Teen Boys

Confidentiality Policy

Nonproselytization Policy

Releasing Information to Client

Serving Clients with Mental Health/Substance Abuse Issues 

Grievance Procedure

Disaster Plan

 

If there is a template or sample policy/protocol/procedure that would be helpful to have on the website, please contact Chelsea Baldwin.