RESOURCES
PEER ASSISTANCE PROGRAM
A confidential program to help nurses return to safe practice.
Oklahoma Peer Assistance Program
2915 N. Classen Boulevard, Ste. 215
Oklahoma City, OK 73106
(405) 525-2277
-
Overview
- Forms
- Application for Appointment to a Peer Assistance Committee
- Application for Reappointment to a Peer Assistance Committee
- Change of Address
Form
- Change of Supervisor Form
- Counselor Report Form
- Drug/Alcohol Screen Checklist
- Medication Report Form
- Nurse Support Group Facilitator Report Form
- Nurse Support Group & Aftercare Attendance Log
- Program Application
- Release for Body Fluid Testing
- Release for Employer
- Release for Family/Other
- Release
for Healthcare
- Self-Assessment Form
- Sponsor Report Form
- Supervised Practice Report Form
- Support Group Attendance Form
Every effort has been made to ensure that the information provided at this site is correct, but due to the changing nature of the Internet, the Board disclaims any responsibility for any inaccuracies.
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this program selct
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a free copy.