(Due to ISNAP by the 10th of the month- fax forms to (317)297-3525; email to case manager; 2915 North High School Road, Indianapolis, IN 46224)
- 12-Step Meeting Log
- Vacation request – due 2 weeks prior to vacation
- Release of Information
- Medical Records Request revised 2011
Quarterly Reports: (Due to ISNAP four times a year by the 10th of the month: January, April, July and October)
* Healthcare professionals may fax forms to (317) 297-3525; or email to Case Manager.
Consent to Release Information to:
- Attorney General
- Professional Licensing Agency-ISBN
- Witham Lab
- County Probation
- Therapist – 1-Primary
- Emergency Contact
- Employer 1 Person
- Employer 2 Names
Nurse Support Groups as of 1 11 2017
To check for updates on Nurse Support Groups, please call (317) 295-9862.
Prescriptions and Over the Counter Medications
ISNAP does not make recommendations for prescriptions. This is the role of your Addictionist in conjunction with your other care providers.
Randomized Urine Drug Screens (UDS) are processed at Witham Toxicology, Lebanon, Indiana. Witham has established collection sites throughout the
State of Indiana. (800) 752-8822