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1. All applicants must be detoxed
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FOR MEDICAL DETOX CALL BELLFONT HOSPITAL 1-800-327-3148
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2. Complete Application
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DOWNLOAD APPLICATION
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3. Complete General Rules Form
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DOWNLOAD GENERAL RULES
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4. Physical/Medical Screens |
DOWNLOAD MEDICAL SCREENING FORM
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5. Complete Financial Agreement (MUST
BE COMPLETED BEFORE BED DATE SCHEDULED) NOTICE EFFECTIVE 2/17/2012: IN ORDER FOR GRADUATION CERTIFICATES
AND LETTER OF COMPLETION TO BE ISSUED-A STUDENT'S ACCOUNT MUST BE CURRENT.
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CLICK HERE TO DOWNLOAD CONTRACT
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6. Review Medication Policies
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DOWNLOAD MEDICATION POLICIES
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7. Complete Work Experience Form
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DOWNLOAD WORK EXPERIENCE POLICIES
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8. Review What to Bring Form
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DOWNLOAD WHAT TO BRING FROM
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9. Intake Interview
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TO BE SCHEDULED BY KAREN'S PLACE
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10. $1500 Non-refundable Application Fee Paid (Covers
First Month) We accept credit cards.
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TO BE PAID BEFORE BED DATE SCHEDULED
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11. Bed Date Scheduled. FINANCIAL
FORM MUST BE COMPLETED AND SIGNED BY FINANCE DIRECTOR BEFORE BED DATE SCHEDULED.
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TO BE SCHEDULED BY KAREN'S PLACE
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12. Report on Scheduled Date/Time
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FAILURE TO REPORT ON SCHEDULED DATE/TIME WILL RESULT
IN LOSS OF BED
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13. Check-in at Karen's Place
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ALL BELONGINGS SEARCHED & INVENTORIED
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How do I get the documents to Karen's Place? |
-Mail -Email -Drop
Off -Fax
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Mail application to us at Karen's Place
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Karen's Place, P.O. Box 686, Louisa, KY 41230
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Scan and email documents to us
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Drop Off documents at our office
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125 South Main Cross Street, Louisa, KY 41230
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Fax to us
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(606) 826-0144
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