This form is used in the Benton County Adult Drug Treatment program in order to require the Drug Court participant to alert their medical provider that they are participating in that program. The medical provider uses this form in the event that a medical condition will limit participant’s activities in Drug Court. The medical provider should use this form to list which activities the participant will not be able to perform during the program and then provide an explanation as to why they cannot participate in said activities.
Benton County Physician Statement for Non-Participation
by wpengine / Friday, 05 May 2017 / Published in Uncategorized