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Clinician & STAFF

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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 CD Check-ins and should  to be completed at the end of every CD 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.

PARENT SESSIONS

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 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.