top of page

Participant Reports, Logs, & Documents

Quarterly Therapist Report

​

Quarterly Medication Management Report

​

Quarterly Practice Liaison Report

​

Monthly Meeting Log

​

HAVEN Authorization Form

​

​

​

Reminder: Please make sure the HAVEN ID number is completed at the top of each quarterly report form, or the form may not be accepted.

Other Documents

HAVEN Credit Card Form

​

Donation Form

​

Talbott Recovery Campus Medication Guide for a Safe Recovery

​

RecoveryTrek Online Enrollment Packet

​

Common Questions About HAVEN

​

Common Questions About Mandated Reporting

​

Speaker Request Form

​

​

Annual Reports

​

2018 HAVEN Annual Report

​

​

​

Applicable Statutes

 

Connecticut General Statute Sec. 19a-12a

 

Connecticut General Statute Sec. 19a-12b

​

Connecticut General Statutes 19a-12e

​

​

​

​

Not finding what you're looking for? Call the HAVEN office at (860) 828-3175 for more assistance.

bottom of page