TnPAP Forms

Click on the links below to open a .doc or .pdf version of each form to print

Facilitator Quarter Report

Progress Evaluation

Meeting Attendance Verification

Employer Evaluation

Notification of Name, Address or Employer Change(s)

Application for Support Group Facilitator/Co-Facilitator

Verification of Prescribed Medication

TnPAP Monitoring Agreement Overview

Participant General Information

Affinity Online Solutions, Inc. (AOS) Online Reporting Instructions

Affinity Online Solutions, Inc. General Information and Service Options

TnPAP Orientation Instructions

Sponsor Report Form  (also available below in on-line form)

On-Line Forms

On-line Facilitator Quarterly Report

On-line Referral Form

Release Forms (Exchange of Information To and From) It is not necessary to print out and FAX or mail these forms. They will be securely submitted electronically when you click Submit.

On-line Therapist or Treatment Providers Form

On-line Tennessee Department of Health Form

On-line MD, Pharmacist, or DDS Form

On-line Employer Form

On-line Inspector General Form

On-line Group Facilitators Form

On-line Evaluator Form

On-line Miscellaneous Release Form

On-line Sponsor Release Form

On-line Sponsor Quarterly Report