VRP Enrollment Paperwork
VRP's Terms and Conditions for Participation (PDF)
VRP's Participation Cooperation Form (PDF)
VRP Demographics & Medical History Questionnaire (PDF)
DMU Enrollment Paperwork
Drug Testing Information
Drug Testing General Information (PDF)
Consents for Release of Information
Treatment provider release (PDF)
PA Board Counsel release (PDF)
Insurance company release (PDF)
Other state board release (PDF)
Physicians' Health Program Release (PDF)
PA Nurse Peer Assistance Program Release (PDF)