Great Plains Area Youth Regional Treatment Center Great Plains Area Youth Regional Treatment Center 2025

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  1. Click ‘Get Form’ to open the Great Plains Area Youth Regional Treatment Center Application in the editor.
  2. Begin by filling out the Client Demographic Information section. Enter the client's name, date of birth, address, and contact details accurately.
  3. Proceed to the Health Care Coverage section. Indicate eligibility for Indian Health Services and provide insurance details if applicable.
  4. Complete the Substance Use History section by circling all relevant substances used and providing details on usage frequency and last use.
  5. Fill out the Required Documents checklist ensuring all necessary documents are attached, such as a bio-psycho-social assessment and health history.
  6. Review your entries for accuracy before submitting. Once completed, save your document and follow instructions to fax it to Delaine Keller at 605-845-5072.

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