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Substance Abuse Services

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Info for Our Providers

Salt Lake County
Substance Abuse Services
Salt Lake County Government Center
2001 South State Street
#S2300
SLC, UT 84190-1001

Hours: 8 am - 5 pm
Phone:801 468-2009
Fax:801 468-2006
Email

The following forms are available in various formats. To view or print out files in PDF (Portable Document Format), use the free Adobe "Acrobat Reader?"
Treatment MIS Manual, Forms and Codes
FY07 Admission/Discharge Form (Dr. Data Lite)		PDF	Word
FY07 Treatment Rate Table	Excel	PDF
FY07 Rate Table Instructions		PDF
FY07 Activity Report			Word
Key Data Items Change Form	Excel	PDF
FY2006 Treatment Services RFP Results	Excel
FY2005 Treatment Services Plan		PDF

Prevention
ADPAC's Proposed Prevention Funding for FY05	Excel	PDF
FY2007 Billing Matrix	Excel
Calendar of Events	Excel	PDF	Word

Financial - Co-Pay Schedule
Outpatient	Excel
Residential	Excel
Weekly Residential and Intensive Outpatient	Excel

Salt Lake County Government Center – 2001 South State Street Salt Lake City, UT 84190 – 801 468-3000