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Clinician & STAFF

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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.

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.

This form allows you to evaluate our formal 8-week Process Experiential Group and should be completed at its conclusion.

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 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.

This form allows you to complete the Group Experiences Survey.  Please take it when directed to do so by the CD/ACD.

This form allows you to evaluate your experiences at Change, Inc. as they relate to CD Check-ins and should  to be completed at the end of every CD Check-in session.

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.