New Hampshire: NWD Data Collection Form

Description: The NH Data Collection Form is used by the ADRC (i.e., Service Link) statewide network in their Refer7 database. The data collection form can help improve the consistency of the tracking of person-centered counseling events. It can also count application assistance occurrences and implement an automated 90-day call back reminder mechanism. NH will use this form to complete future NWD Management Tool reports.

Please note: this form is not 508 compliant.

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