Valley Housing Application Packet Check-List

1. The type or amount of medical monitoring and assistance and treatment that staff is expected to deliver exceeds that of a high school graduate with a CPR card and no medical licensing or training; and/or
2. The time away from the program required for the patient to manage their health care problems substantially interferes with the quality and quantity of care they are supposed to be getting at the residential program.

Medications: I understand that the medications I am currently taking and or prescribed, may not be approved by my new treatment team and are subject to change upon admission. Examples of medications that are NOT approved for use while in treatment include but are not limited to: Epi-Pens, Benzodiazepines, Amphetamines/Stimulants, Gabapentin, Wellbutrin (bupropion), Soma (carisoprodol), Ambien (zolpidem) and any other opiates/narcotics or controlled substances. I understand that the prescriber may speak with me about other medication alternatives and options. If my medications are not approved, I understand that I will be required to stop taking them prior to admission or shortly thereafter under the care of a Valley prescriber.

Utilizing services: Moving into Valley Behavioral Health’s Supportive Housing Programs, I understand the services offered in housing are provided to best support coordination of my treatment, medical needs, and sobriety needs. Unless I am required to complete Court ordered treatment at Forensics, I acknowledge living into Supportive Housing with Valley includes utilizing the following, according to the unit’s program procedures:

Primary Care Services
Primary Care Coordinator
Case Management
Medication Management
Pharmacological Management
Pharmacy Services
Urinary Analysis

Urinary Analysis:
Reasons the treatment team may request drug testing include:

1.The patient has a substance use disorder and is engaged in treatment to manage that problem.
2. Patient behavior raises suspicion of substance use. Refusal to submit a urine drug test when requested may result in a lease violation.