BTP Fees Payment Assessment/Agreement

01
Initial Contact and Intake
02
Program Contract
03
Waiver of Confidentiality
04
Promise to Maintain Confidentiality
05
Program Policy
06
BTP Fees Payment Assessment
07
Drug and Alcohol Assessment
08
Risk Assessment

BTP Fees Payment Assessment/Agreement

Monthly Income
Monthly Expenses
Utilities Expenses
Proof of the amount and source of income, if any, must be brought to court on the following date.
Failure to appear or failure to bring the required proof of income may result in the court finding you are able to pay the assessed program.