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OHPP CONTRACT FORM Final.docx - okhpp

OHPP CONTRACT FORM Final.docx - okhpp 2025

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The document is a contract between the Oklahoma Health Professionals Program (OHPP) and a participating professional, outlining the terms for advocacy and support in maintaining recovery from substance abuse. It includes commitments from the participant to remain abstinent, undergo drug screenings, attend support group meetings, maintain communication with a sponsor, and inform healthcare providers of their recovery status. The contract also includes liability waivers and conditions under which advocacy may be revoked.

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Click ‘Get Form’ to open the OHPP CONTRACT FORM in the editor.
Begin by filling in your personal information at the top of the form, including Last Name, First Name, Middle Initial, and Date of Birth (DOB). Ensure accuracy as this information is crucial for identification.
Review each provision carefully. For example, you must agree to remain abstinent from all psychoactive substances. Make sure you understand these commitments before proceeding.
In section 2, indicate how many random drug screenings you are willing to participate in per year. Fill in the blank provided with your chosen number.
For section 3, confirm your commitment to attend Medical Professional Support Group Meetings by noting your attendance plan and ensuring you can provide sign-in sheets when requested.
Complete sections 4 through 7 by reading each clause thoroughly and signing where indicated. This includes authorizing the release of information and acknowledging risks associated with participation.
Finally, specify the duration of the contract in years and sign at the bottom along with an OHPP representative's signature.

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