Rehabilitation Contract Reports

Rehabilitation Contract reports are due on the 4th of the month
(Reports for the January reporting period are due February 4th.) 

Fax reports to:  720.213.1007  or    720.213.0002  

Email reports to: 

Notice to clients: Standard email is an unsecured method of correspondence; therefore reports submitted via this method may be at risk for interception. PAS uses ZixCorp encryption for all email communication with clients.

Participants may choose one of the four Self-Status Reports to submit each reporting period, it is not necessary to submit all four versions.

 Addictionologist Report 

Annual History & Physical 

Group Meeting Verification 

Opiate Replacement Therapy Report

Pain Management Provider Report 

PDMP Record Request

Prescriber Report 

Self Status 

Self Status Education Employment Report 

Self Status Monthly Recovery Plan 

Self Status Wellness Plan 

Sponsor Report 

Therapist Report

Therapist-Psychologist Report 

Treatment Provider Report