Evaluation for Counseling Services A representative from Jersey Innovative Services contacted you via phone to complete a Substance Use evaluation. You were instructed to go to this page to give consent for the evaluation to begin. Your signature on this consent form is valid for this approved evaluation only today. If you have entered onto this site by mistake, leave this page empty. If you are interested in an evaluation for counseling services, call PerformCareNJ (877) 652-7624.
JERSEY INNOVATIVE SERVICES Substance Use Treatment Assessment As part of the new substance use authorization process, the 42 CFR Part 2 consent form must be attached to the initial clinical assessment. This consent form is used exclusively by certified assessors who specialize in substance use: Substance use treatment consent form (PDF).
All assessments available in multiple languages: TeleHEALTH providers by Languages – JERSEY INNOVATIVE SERVICES- Arabic, North African, American Sign Language (ASL), Brazilian Portuguese, Bulgarian, Cambodian, Cantonese, Chinese, Creole, Egyptian, French, French-Canadian, German, Greek, Gujarati, Haitian, Hindi, Korean, Indian Continent, Indonesian, Italian, Japanese, Laotian, Liberian, Levantine, Mandarin, Palestinian, Pidgin English, Portuguese, Punjabi, Romanian, Russian, Serbian, Spanish, Tagalog, Telugu, Thai, Urdu via telehealth at this time. Consent forms are available in other languages.
New Jersey Treatment information List of participating substance treatment providers (PDF)
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