Duii Program Agreement Sample Contracts

DUII PROGRAM AGREEMENT
Duii Program Agreement • August 5th, 2020

This four part DMV form (form 735-6821) has a unique identification number and Oregon’s state seal. Other documents may have been presented to an individual by their treatment provider at the time of treatment completion, but these will not satisfy DMV requirements.

DUII PROGRAM AGREEMENT
Duii Program Agreement • June 11th, 2024

Kolpia Counseling Services offers a DUII Services Program that operates in accordance with all state requirements as defined in OAR 309-019-0195. Our certified alcohol and drug counselors work with you to complete a comprehensive assessment based on the guidelines set by the American Society of Addiction Medicine (ASAM) that will help determine your appropriate level of care. If your needs exceed Kolpia’s available levels of care provided, our counselors help facilitate access to necessary and available services. Individuals who enroll in the DUII Services Program must fulfill the requirements as dictated by the Oregon Health Authority to be successfully completed from the DUII Education or DUII Rehabilitation program (for additional details please refer to the State of Oregon website at: http://www.oregon.gov/oha/amh/duii/Pages/certificate.aspx).

DUII PROGRAM AGREEMENT
Duii Program Agreement • May 31st, 2021

Kolpia Counseling Services offers a DUII Services Program that operates in accordance with all state requirements as defined in OAR 309-019-0195. Our certified alcohol and drug counselors work with you to complete a comprehensive assessment based on the guidelines set by the American Society of Addiction Medicine (ASAM) that will help determine your appropriate level of care. If your needs exceed Kolpia’s available levels of care provided, our counselors help facilitate access to necessary and available services. Individuals who enroll in the DUII Services Program must fulfill the requirements as dictated by the Oregon Health Authority to be successfully completed from the DUII Education or DUII Rehabilitation program (for additional details please refer to the State of Oregon website at: http://www.oregon.gov/oha/amh/duii/Pages/certificate.aspx).