Prior to referral to HPSP, the licensee shall agree, by written statement, to
waive any privilege with respect to any physical, psychiatric, psychological,
or substance use treatment, in favor of the Board; and to execute waivers or
releases with any and all health care providers to permit exchange of
information between the health care providers and the Board.
(2) Monitoring agreement will be for a
minimum of five (5) years, or as determined by the Board.
(3) Urinalysis testing shall be directly
(4) Licensee shall assure
that at all times the Board has the most current information regarding
licensee's address and telephone numbers for both residences and
(5) Licensee will be
responsible for all costs for treatment including, but not limited to,
evaluations, residential treatment, after care regimens, group therapy
programs, counseling, and toxicology testing. Failure to meet those financial
obligations may constitute substantial non-compliance.
(6) As warranted, the Board shall add any
additional agreement provisions and will convey those to the vendor by letter