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Employee Information

Information in the “Employee Only” section of the website can be found in Outlook through the following series of folders: Public Folders > All Public Folders > Employee Access
 
Human Resources / Benefits Information
Financial Forms
Clinical Forms
Corporate Bylaws (PDF)
Policies and Procedures (PDF)
Employee Training
Unlimited Success Forms
Handouts
BBB Ethics Award Winner
Many of these documents are in PDF format; click here to download Adobe Acrobat Reader.
   

Human Resources / Benefits Information

   
  Accrual of Vacation and Sick Leave (PDF format)
  Employee Handbook (PDF)
  Employee Benefits Fiscal Year 2006-2007 (Updated 12/707) (PDF)
  Employment Application (Word)
  Exit Interview Checklist (Word)
  First Citizens Checking Account Offer (PDF)
  Hourly Employee Timesheet (Excel)
  Incident Report (Word)

 

 Inclement Weather and Hazardous Road Conditions Policy (PDF)
  Leave Request Reporting Form (in Word) & Instructions for Completing (PDF)
  Managers Payroll Worksheet (Excel)
  Medicare D Waiver (PDF)
  New Hire/Rehire Form (Word)
  Organization Chart (PDF)
  Performance Evaluation Form (Word)

 

 Personnel Status Change Form (Word)
  Retirement Summary Plan Description effective through 12/31/05 (PDF)

 

 Retirement Summary Plan Description (SPD) effective through 12/31/04 (PDF)
  Section 125 Cafeteria Plan (Flexpay website)
  Section 125 Cafeteria Plan Enrollment Form (PDF)
  Section 125 Cafeteria Plan Reimbursement Form (PDF)
  Shared Sick Leave, Acknowledgement (Word)
  Sick Leave Sharing (Word)
  United Healthcare Dental Consumer Max Multiplier (PDF)
  United Healthcare Dental Indemnity Certificate of Coverage (PDF)
  United Healthcare Amendment to Dental Certificate of Coverage (PDF)
  United Healthcare Group Policy (PDF)
  United Healthcare Choice Plus Plan S1E Certificate of Covereage (PDF)
  United Healthcare Choice Plus Plan S5U Certificate of Coverage (PDF)
  United Healthcare Choice Plus Network Instructions (Word)
  United Healthcare Affidavit of Domestic Partnership (Word)
 
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Financial Forms

 
  Direct Deposit Request Form (Word)
  Expense Approval Form (Excel)
  Petty Cash Reimbursement Form (Excel)
  Timesheet (Excel) (undated)
  Travel & Per Diem Voucher (Excel)
 

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Clinical Forms

 
  ASAM Criteria (Word)
  Authorization - Consent (Word)
  Client Handbook (PDF)
  Client Orientation Checklist (Word)
  Client Rights and Confidentiality Policy (PDF)
  Consent to Treatment (Word)
  Demographic-Intake Data (Word)
  Discharge Summary (Word)
  Emergency Service - Consent of Release (Word)
  Gender Specific Addendum (Word)
  Intake Assessment (Word)
  List of Approved Abbreviations (PDF)
  Progress Note (Word)
  SAL Example (Excel)
  SAL Instructions (Service Activity Log) 08/12/04 (in Excel)
  Service Plan - W. Fourth Street (Word)
  Service Plan - N. Highland Avenue (Word)
  TB Document (Word)
   
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Employee Training

   
  Cultural Competency
Test on Cultural Competency Training
  Fire, Health and Safety
Test on Fire, Health and Safety Training
  HIPAA and Confidentiality
Test on HIPAA and Confidentiality Training
  NC TOPPS Introduction (HTML Powerpoint)
  Professional Conduct
Test on Professional Standards Training
 

Whistleblowing
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Unlimited Success Forms

  Agency Discharge Form (Word)
  Attendance Log (Word)
  Clinical Screening Form (Word)
  Continuing Serial Program Report (Word)
  Participation Report (Word)
  Partnership Agreement for US and Schools (Word)
  Program Enrollment Form (Word)
  Program Report (Word)
  Program Termination Form (Word)
  Progress Notes (Word)
  Referral Form (Word)
  Release of Confidential Information for City County Schools - Administrators (Word)
  Release of Confidential Information for LME - Area Program (Word)
  Release of Confidential Information for Parent - Guardian (Word)
  SAFE Monthly Report (Excel)
  Service Grid (Word)
  Service Note (Word)
  Sign-in Sheet (Word)
  Special Event Form (Word)
  Substance Abuse and Alcohol Testing Form (Word)
  Synar Amendment Activities (Word)
  Synar - Monthly Summary of Hours (Word)
  Training Completion Submission Form (Word)
  Unlimited Success Admission Assessment (Word)
  Unlimited Success Fax Coversheet (Word)
  Unlimited Success Letterhead (Word)
  Unlimited Success Memo Template (Word)
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Handouts
  Insight Human Services Info Sheet -- This PDF document describes Insight's services and locations. You can print and photocopy this as often as you need to for community presentations or to give to clients and referral sources.
   
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BBB Ethics Award Winner

  News Release (Word doc)
  Message from Bowman Gray, Board Chair (Word doc)
   

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