NOW OPEN To empower clients to rise to their full potential in recovery!

Rise Up, LLC

Rise Up, LLC Rise Up, LLC Rise Up, LLC

Rise Up, LLC

Rise Up, LLC Rise Up, LLC Rise Up, LLC
  • Home
  • Client Files
  • Reiki
  • OWI
    • Home
    • Client Files
    • Reiki
    • OWI
  • Home
  • Client Files
  • Reiki
  • OWI

Downloads

Print out files and fill out to bring to your appointment with you.  

MAST PDF (pdf)Download
DAST-English-pdf (pdf)Download
SBIRT Gambling Screen (IOWA final2015) (pdf)Download
PHQ9-and-GAD7 (pdf)Download
ACE assessment (pdf)Download
reiki intake form (docx)Download
Rise Up HIPAA Notice of Privacy Practices & Acknowledgement Form (pdf)Download
HIPPA notice (docx)Download

Client Surveys

image17

Beginning Treatment Survey

Beginning Treatment Survey

Beginning Treatment Survey

https://survey.sogosurvey.com/r/zkWIV9

image18

Mid Treatment Survey

Beginning Treatment Survey

Beginning Treatment Survey

https://survey.sogosurvey.com/r/78sP86
 

image19

Discharge Survey

Beginning Treatment Survey

Discharge Survey

https://survey.sogosurvey.com/r/wNadDm
 

Copyright © 2020 Rise Up, LLC - All Rights Reserved.


Rise Up, LLC is HIPPA compliant and clients are protected by HIPPA and CFR 42 Part 2.  To see your rights go to client files and click on HIPPA form.  With any questions call, 515-408-6779.  

  • Client Files

Powered by GoDaddy Website Builder