Clinician
portal
general clinician NEEDS
This form allows you to submit requests for time off and should be submitted 6-weeks in advance of intended days off.
This form allows you to submit a request for one of Change, Inc.’s limited number of At-Home COVID-19 Test Kits. You should use it only if you have COVID-19 symptoms or have been exposed to a known or confirmed case of COVID-19.
This form allows you to notify Change, Inc. that you’d like more clients added to your weekly roster no more than every 8-12 weeks.
supervision and check-ins
This form allows you to evaluate your experiences at Change, Inc. as they relate to Director Check-ins and should to be completed at the end of every Director Check-in session.
This form allows you to evaluate your experiences at Change, Inc. as they relate to supervision and should to be completed at the end of every supervision session.
CLIENT-RELATeD FORMS AND PARENT SESSIONS
This form allows you to notify Change, Inc. when you have terminated therapy with a client, defined as client and having had a termination session, the client reached desired therapy outcomes, and the closing out was generally positive and upbeat as it regarded the work you’d done together. Please complete this within 3-4 days of your termination session with a client.
This form allows you to notify the Clinical Direction team when a client needs or wants to meet with Clinical Direction Team for a Transition/Triage Session for the possibility of receiving resources or being referred to different level of care (etc.). Please complete as soon as you’re ready to initiate a Transition/Triage Process.
This form allows you to submit information about an Adolescent Client to the appropriate Parent Session Clinician, prior to a parent session. It should be submitted approximately 7-10 days in advance of evert scheduled parent session date.
This form allows you to submit information about your most recent Parent Session to the appropriate Adolescent Clinician. It should be submitted within 24 hours after the most recent parent session that has taken place.
PEer to peer training
This form allows you to submit a presentation for Change, Inc.’s Monthly Peer to Peer Training program. Use it any time you’ve got a topic you’d like to present to the entire team for which you have expertise/training/experience. The Clinical Direction team will review it within 5-7 business days.
continuing education
This form allows you to submit a request to enact your contract/otherwise provided Change, Inc.-provided half-cost benefit for Continuing Education opportunities and should be completed in advance of enrolling.
This form must be submitted within 1 week of completing a Change, Inc.-approved, half-cost benefit provided Continuing Education Opportunity. Please also be sure to upload any presentations, handouts, etc. to Google Drive.
This form allows you to take the quiz for the Change, Inc. 101 Workshop listed, as well as to complete the attestation. It should be used after watching the listed workshop.
GRoup experience
This form allows you to complete the Group Experience Informed Consent Agreement (GEICA) and should be completed as indicated by the Clinical Direction Team before each group experience.
This form allows you to complete the Group Experience Lunch Order Form for the upcoming Group Experience and should be completed as indicated by the Managing Direction Team prior to each Group Experience.
This form allows you to evaluate your most recent Group Experience, and should be completed as directed within the time frame provided immediately after each Group Experience.
This form allows you to complete the Group Experiences Survey. Please only take it when directed to do so by the CD/ACD.