STATE OF DEPARTMENT OF SOCIAL AND HEALTH SERVICES Date: Client ID: Language: . You must provide proof you have completed a chemical dependency assessment by DATE Your chemical dependency assessment recommends that you complete substance use disorder treatment. You . must provide proof you are participating in treatment by DATE If you complete an assessment or treatment as required, your Housing and Essential Needs (HEN) Referral don’t program eligibility may end per WAC 388-447-0120. Chemical Dependency assessment and treatment providers in your area include: Please call me if you have any questions or if you need help finding a certified chemical dependency assessment or treatment provider. SOCIAL SERVICE SPECIALIST TELEPHONE NUMBER CSO
STATE OF DEPARTMENT OF SOCIAL AND HEALTH SERVICES Date: Client ID: Language: You must provide proof you have completed a chemical dependency assessment by . DATE Your chemical dependency assessment recommends that you complete substance use disorder treatment. You must provide proof you are participating in treatment by . DATE If you don’t complete an assessment or treatment as required, your Housing and Essential Needs (HEN) Referral program eligibility may end per WAC 388-447-0120. Chemical Dependency assessment and treatment providers in your area include: Please call me if you have any questions or if you need help finding a certified chemical dependency assessment or treatment provider. SOCIAL SERVICE SPECIALIST TELEPHONE NUMBER CSO
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