01

Notation Form

Enter information as completely as possible for all peer interactions.

02

Peer Survey

Give this survey to your peer each month to chart progress.

03

INtake form

Complete the form to receive reimbursement on items related to work done with P3.  All reimbursements must be pre-approved and accompany all necessary receipts.

04

Referral Form 

Give this link to other agencies, case workers, or clinicians ONLY

05

Confidentiality Agreement

All Peers entering the program must fill out this form.

06

INformed Consent form

All Peers entering the program must fill out this form.

07

Financial Form and Agreements

Regular meetings with individuals and coalitions should be reported on this form.  Give as much information as possible.

P3 HEADQUARTERS - CONTACT

1854 Minnesota Ave, Suite 5

Kansas City KS 66102

Office Phone: 816-392-6074

info@poetryforpersonalpower.org

Sheri Hall - Interim CEO - CONTACT

Mildred Rand - Finance - CONTACT

MARKETING - CONTACT

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