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For Gambling Treatment Providers

The Department of Drug and Alcohol Programs (DDAP) contracts with licensed agencies and private practice clinicians to provide outpatient gambling counseling services to at-risk adults and adolescents, as well as those with a gambling disorder.  Family members and significant others of the gambler may also be eligible to receive outpatient services.

  

  
  
  
DDAP-EFM-1300 - Outpatient Gambling Treatment Services - Minimum Eligibility Requirements-Agency.docx
  
8/15/2017 4:25 PM
DDAP-EFM-1301 - Outpatient Gambling Treatment Services Minimum Eligibility Requirements Sole Practitioner.docx
  
8/15/2017 4:25 PM
DDAP-EFM-1302 - Gambling Screening Tool.docx
  
8/15/2017 4:25 PM
DDAP-EFM-1303 - Request for Liability Reduction of Elimination Form.docx
  
8/15/2017 4:25 PM
DDAP-EFM-1304 - Gambling Admission Form.doc
  
8/15/2017 4:25 PM
DDAP-EFM-1305 - Gambling Discharge Treatment Form.docx
  
8/15/2017 4:25 PM
DDAP-EFM-1306 - Grievance and Appeal Reporting Form.docx
  
8/15/2017 4:25 PM
DDAP-EFM-1307 - Agency Staff Change Request.docx
  
8/15/2017 4:25 PM
DDAP-EFM-1320 - Request for Client Authorization.docx
  
8/15/2017 4:25 PM
Gambling Invoice Form.xls
  
8/15/2017 4:26 PM
South Oaks Gambling Screen Adolescents.docx
  
10/15/2015 1:20 PM
South Oaks Gambling Screen Spanish.docx
  
10/15/2015 1:20 PM
South Oaks Gambling Screen.docx
  
10/15/2015 1:20 PM