The forms and brochures utilized by the Compliance Section are provided below.
Academic Performance Evaluation Form [PDF Format - 48k]
Counselor Evaluation Form [PDF Format - 58k]
Counselor/Therapist Verification Form [PDF Format - 40k]
Employer Verification Form [PDF Format - 41k]
Evaluator List by City [PDF Format - 49k]
Meeting Documentation Form [PDF Format - 22k]
Monthly Self Report [PDF Format - 70k]
Prescription Medication Report [PDF Format - 46k]
Probation/Parole Report [PDF Format - 40k]
Probation/Parole/Drug Court Verification Form [PDF Format - 39k]
Relapse Prevention Plan [PDF Format - 48k]
Treating Practitioner Verification Form [PDF Format - 40k]
Work Performance Evaluation Form [PDF Format - 63k]
Assuring Safe Nursing Care in Kentucky Brochure [PDF Format - 69k]
Criminal Convictions Brochure [PDF Format - 28k]
Kentucky Alternative Recovery Effort (KARE) for Nurses Brochure [PDF Format - 71k]
Nursing Licensure: Disciplinary Process and Procedures [PDF Format - 139k]
