The forms and brochures utilized by the Compliance Section are provided below.
Academic Performance Evaluation Form [PDF Format - 48KB]
Academic Verification Form [PDF Format - 40KB]
Counselor Evaluation Form [PDF Format - 58KB]
Counselor/Therapist Verification Form [PDF Format - 40KB]
Employer Verification Form [PDF Format - 41KB]
List of Evaluators by City [PDF Format - 49KB]
Medication Self Report [PDF Format - 37KB]
Meeting Documentation Form [PDF Format - 22KB]
Monthly Self Report [PDF Format - 30KB]
Prescription Medication Report [PDF Format - 46KB]
Probation/Parole Report [PDF Format - 40KB]
Probation/Parole/Drug Court Verification Form [PDF Format - 39KB]
Relapse Prevention Plan [PDF Format - 48KB]
Treating Practitioner Verification Form [PDF Format - 40KB]
Work Performance Evaluation Form [PDF Format - 63KB]
Assuring Safe Nursing Care in Kentucky Brochure [PDF Format - 69KB]
Criminal Convictions Brochure [PDF Format - 28KB]
Kentucky Alternative Recovery Effort (KARE) for Nurses Brochure [PDF Format - 71KB]
Nursing Licensure: Disciplinary Process and Procedures [PDF Format - 139KB]
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