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Fillable schedule template 2026

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  1. Click ‘Get Form’ to open the fillable schedule template in the editor.
  2. Begin by entering the 'Facility Name' and 'Provider #' at the top of the form. These fields are essential for identifying your organization.
  3. In the 'Weekly Schedule of Alcohol and/or Drug Recovery Treatment Services' section, you will find time slots for each day of the week. Use abbreviations for treatment services such as GS for Group Sessions, IS for Individual Sessions, and ES for Educational Sessions.
  4. Fill in each time slot according to your planned activities. Ensure that you accurately represent your treatment planning (TP) and recovery planning (RP) sessions throughout the week.
  5. At the end of each day, calculate and enter the total hours of services provided in the 'Daily Total Hours' field. Finally, sum up all daily totals to complete the 'Total hours per week of services provided' section.

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