FRANKLIN DRUG COURT by 40Cx11

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									                  FRANKLIN DRUG COURT
                       INITIAL CASE PLAN

Name: ____________________________

Counseling/Treatment:

Individual Provider:   _________________________
      Address:         _________________________
                       _________________________
      Meetings per week:    __________________

Group Provider:        _________________________
     Address:          _________________________
                       _________________________
      Meetings per week:    __________________

Urine Analysis
      Test Provider:    _________________________
      Address:          _________________________
                        _________________________
            UA’s required per week: _______________

Curfew and Restrictions

      Curfew:             _________________________
      Other Restrictions: _________________________
                          _________________________
                          _________________________

Educational Program

      Facility:        _________________________
      Address:         _________________________
                       _________________________
      Contact:         _________________________
      Goal:            _________________________
                       _________________________
     Time needed:    _________________________

     Books
     Non-fiction:    _________________________
     Report due:     _________________________

     Fiction:        _________________________
     Report due:     _________________________

Community Service and Activity

     Type of Service: _________________________
     Organization:    _________________________
     Address:         _________________________
                      _________________________

     Number of Hours/Goal: ____________________
     Completion date: _________________________


     Type of Activity: _________________________
     Location:         _________________________
                       _________________________
     Schedule:         _________________________
                       _________________________
     Goal:             _________________________
     Time needed:      _________________________

     Type of Exercise: _________________________
     Location:         _________________________
                       _________________________
     Schedule:         _________________________
                       _________________________
     Goal:             _________________________
     Time needed:      _________________________

Date to complete Phase One:          ________
Date to complete transition plan:    ________

								
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