Weekly Web Check List

Please fill out the form below weekly by Monday at 5:00 PM

Weekly Drug Court Check List

Name*
Your Current Phone Number*
Your Email*
TodayS Date*
Select You Drug Court Case Manager*

Checked in with Case Manager? (Extra ticket if you do all three!)

By Phone
PHONE
By E-mail
E-MAIL
Via Zoom
ZOOM

TREATMENT:

Counselor Name
Last One-on-One Date?
Next Scheduled One-on-One is:

SUPPORT MEETINGS

Meeting Name?
Meeting Date?
Meeting Time?
What I learned?
Meeting Name?
Meeting Date?
Meeting Time?
What I learned?
Did you attend extra Meetings? If so list the name, date of each.
Something Positive I did to Support Recovery:
My Weekly Goal?
How did you meet your weekly Goal:
Highlight of your Week:
Any additional Comments or questions?

SUBMIT THIS FORM TO YOUR CASE MANAGER EVERY WEEK BY MONDAY AT 5:00 PM

Submit Report

Print Email

TELEPHONE: (360) 577-3085
TTY (800) 883-6388 OR 7115

HALL OF JUSTICE
312 SW FIRST AVENUE
KELSO, WA 98626
 
Building Hours - 8:00 AM - 5:00 PM