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  • Lotus Centre - Ehsp Talipot Unit No. 8 Residential and Rehabilitation Programme Treatment Contract Form

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    Roshan Seegolam
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    This document is a treatment contract form for a rehabilitation program at the Lotus Centre located in Talipot Unit No. 8. It contains the client's basic information such as name, age, address, education, and offense. The client agrees to voluntarily participate in the center's programs and abide by its discipline. The client understands they could be removed from the center for failing to follow rules such as participating in therapy activities, obeying staff, using vulgar language, fighting with other detainees, or being under the influence of drugs.

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    contract

    Original Title

    CONTRACT Form

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    This document is a treatment contract form for a rehabilitation program at the Lotus Centre located in Talipot Unit No. 8. It contains the client's basic information such as name, age, address, education, and offense. The client agrees to voluntarily participate in the center's programs and abide by its discipline. The client understands they could be removed from the center for failing to follow rules such as participating in therapy activities, obeying staff, using vulgar language, fighting with other detainees, or being under the influence of drugs.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    18 views1 page

    Lotus Centre - Ehsp Talipot Unit No. 8 Residential and Rehabilitation Programme Treatment Contract Form

    Uploaded by

    Roshan Seegolam
    This document is a treatment contract form for a rehabilitation program at the Lotus Centre located in Talipot Unit No. 8. It contains the client's basic information such as name, age, address, education, and offense. The client agrees to voluntarily participate in the center's programs and abide by its discipline. The client understands they could be removed from the center for failing to follow rules such as participating in therapy activities, obeying staff, using vulgar language, fighting with other detainees, or being under the influence of drugs.

    Copyright:

    © All Rights Reserved
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    LOTUS CENTRE – EHSP

    TALIPOT UNIT No. 8


    RESIDENTIAL AND REHABILITATION PROGRAMME
    TREATMENT CONTRACT FORM

    Date: ..........................................

    Nom client: ......................................................................

    Numero: ……………….

    L’age: …………..

    L’addresse: …………………………………………………………………………….....................................................

    L’education: ……………………………

    Offence: ………………………………………………………….

    Date discharge: ………………………………….

    Remand Sheet : ………

     Mo porte mwa volontaire pou suive ban program dan centre Lotus: …………..

     Mo accepter suive discipline dan centre Lotus: ……………..

     Si mo pas respecter ban l’ordre ek discipline dan centre Lotus couma:-

     1- Suive tous ban activites ek classe therapeutic


     2- Obeir ek respecter ban officier/ animateur dan centre Lotus
     3- Pas servi ban langages vilguir dan centre Lotus
     4- Pas laguere avek ene lot deteni dan centre Lotus
     5- Sous l’influanse / possession la drogue ou substance

     Mo admet ki l’administration Prison/ Lotus pou met mwa dehor depi dan centre Lotus: …………..

    Signature pou deteni: …………………………….. Initial pou Officier: ……………………………

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