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Drug Court Participant report form

Please fill in the form completely every time you report. If the question is not applicable, remember to write "NA" in the window.

If you are in Drug Court, this form needs to be completed and submitted the week of your court hearing between Tuesday and Wednesday at 2 p.m. prior ot your next Drug Court hearing.

If you are in Family Treatment Court, this form needs to be completed and submitted the week of your hearing between Friday and Sunday before your next Family Treatment Court hearing.

For assistance with this form or if you have trouble submitting it, please call Brad Finegood (360) 397-2304 or Paula Deans (360) 397-2150 ext. 5826.

Participant information
  Event number Required.    
  Required. Required. Required.
  Required. Required. Required.
  Is this an Oxford/supported living house?
Please make a selection.
Required.
  Required.
  Required. Required.  
  Required.  
       
School information
  Required.
Please make a selection.
       
Employment information
  Required.
  Required. Required.
Please make a selection.
       
Substance use information
  Since your last report, have you used alcohol, drugs, or other mind/mood altering substances that were not prescribed by a doctor?
Please make a selection.
  Required. Required.
  Required.
       
Medical information
  Since your last report, have you had a medical or dental appointment?
Please make a selection.
 
  Required. Required. Required.
  Required. Were you prescribed medication?

Please make a selection.
  Required. Required.  
  Did your doctor complete a medical verification form?
Please make a selection.
  Required. Required.
       
Law enforcement information
  Since your last report, did you have contact with law enforcement?
Please make a selection.
  Required. Required.
       
Positive sobriety report
  Describe one good thing that happened with your sobriety since your last report
Required.
       
 
       

 

 

Clark County Superior Court Administrator: Jeffrey Amram
Street Address: 1200 Franklin Street, Vancouver, WA 98660
Main phone: (360) 397-2150
Speech-to-Speech Relay Service (800) 833-6384
Telebraille (800) 833-6385
TTY and Baudot (800) 6388 Responsible Elected Official: Judge Robert L Harris

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