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United States Probation and Pretrial Services

District of South Dakota

Kirk Byrd, Chief

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Treatment Services Vendor Forms

Attachment J.1 Probation Form 45
Attachment J.2 Monthly Treatment Log
Attachment J.4 Invoice Parts A and B
Attachment J.5 Breathalyzer Log
Attachment J.5 Sweat Patch Testing Log
Attachment J.5 Urinalysis Testing Log
Attachment J.6 Daily Treatment Log
Client Travel Log - 2025
Confidentiality Regulations
Individualized Comprehensive Quarterly Treatment Plan
PROB 11B Authorization to Release Confidential Information Substance Abuse Disorder Programs
PROB 11E Authorization to Release Confidential Information Substance Use and Mental Health
PROB 11G Authorization to Release Information (Private Person or Organization) to Pretrial Services Officer
PROB 11I Authorization to Release Confidential Information Mental Health Treatment Program
PROB 17 Travel Log
PS6B Authorization to Release Confidential Information (Drug or Alcohol Abuse Programs)
PS6D Authorization to Release Confidential Information Mental Health Treatment Programs
PSA FORM 6 Authorization to Release Information (Private Person or Organization) to Pretrial Services Officer

Treatment Services

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