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Oregon Problem Gambling Services
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  • Problem Gambling Awareness Month (PGAM)
    • 2016 PGAM Infographic
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    • Art Search: Selection Process and Criteria
  • Home
  • About
    • About Oregon PGS
    • 2016-2020 Oregon PGS System Improvement Plan
    • Contact Us
    • Copyright Information
  • All Providers
    • Order PGS Materials
    • Research and Data
    • Service Elements/Oregon Administrative Rules
    • Prevention Provider Meetings/Calls
    • Treatment Provider Meetings/Calls
    • Workforce Development; All Providers Meetings/Calls
  • For Prevention Providers
    • Presentations
    • Regional Prevention Coordinators
    • Facts to Go
      • Tips
    • Guides and Workbooks
    • Population Group Resources
      • By Age
        • College and Young Adults
        • Older Adults and Gambling
        • Youth
      • Educators and Schools
      • Employers and Workplace
      • Parents
      • People of Color
      • Women
    • Prevention Provider Meetings/Calls
  • For Treatment Providers
    • ACCBO Approved Supervisors for Certification
    • Assessment and Screening Tools
    • Billing Codes and Rates
    • Internet Gaming Policy
    • Performance Metrics
    • Treatment Forms and Data Entry
    • Treatment Provider Meetings/Calls
    • Educational Resources
      • Guides and Workbooks
      • Financial Resources
  • Media
    • Problem Gambling Awareness Month (PGAM)
    • 2016 Problem Gambling Awareness Calendar
    • Videos
    • Radio
    • Print
    • Youth Poster Gallery
    • Archives
      • PGS News Archives
      • Print Stories – Archives
  • Problem Gambling Awareness Month (PGAM)
    • 2016 PGAM Infographic
    • 2016 Problem Gambling Awareness Art Search
    • Art Search: Selection Process and Criteria

Treatment Forms and Data Entry
Home » Treatment Forms and Data Entry

Gambling Process and Monitoring System User

All data collection forms revised January 2016. Click here for a list of changes.

  • GPMS Data Collection Manual Field Version
  • Semi-Annual Satisfaction Survey
  • Semi-Annual Satisfaction Survey – en Español (coming soon)
  • Participant Locator Form
  • Informed Consent Form | Informed Consent Form SAMPLE
  • Informed Consent for Follow-up – en Español | Informed Consent SAMPLE – En Español
  • Gambling Client Termination Abstracting Form 
  • Gambling Client Survey
  • Gambling Client Enrollment Record Abstracting Form
  • Family Client Termination Abstracting Form
  • Family Client Survey
  • Family Client Survey –  en Español
  • Family Client Enrollment Abstracting Form
  • Oregon PGS Procedure Codes and Rates – 2016 (effective July 1, 2015)

 

DSM-5 Gambling Treatment Policy Statement 9-30-2015

Help and Treatment

  • 1-877-MY-LIMIT – OPGR
  • Gam-Anon
  • Gamblers Anonymous
  • National Council on Problem Gambling

Oregon Resources

  • 1-877-MY-LIMIT – OPGR
  • Lane County PG Prevention
  • Oregon Administrative Rules (AMH Services)
  • Oregon Council on Problem Gambling
  • Oregon Problem Gambling Services
  • Voices of Problem Gambling Recovery

© 2016 Oregon Problem Gambling Services

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  • Annual Problem Gambling Awareness Calendar Artwork Selection Process and Criteria
  • 2016 Problem Gambling Awareness Month Infographic – Oregon