Required Provider Reports

Required Prevention Provider reports due to Regional Prevention Coordinator, 

Stephanie VanDerKooi on or before: 

  • January 15, 2017
  • April 15, 2017
  • July 15, 2017
  • October 15, 2017

Click on the links below:

New Hire Form for Prevention Staff: This form is required in order for the LRP to provide a user name and password for the staff for the Prevention Data System or for any activities to be entered for the staff person. This form with all relevant attachments is due to the LRP within 14 days of the hire date.