Jail Re-Entry Checklist
Form Template
The Jail Re-Entry Checklist mobile app provides instructions for completing GAINS Jail Re-Entry Checklist.
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It is recommended that the form be completed in quadruplicate for all detainees identified with mental health service needs within 48 hours of arriving at the facility. The quadruplicate forms should be distributed as follows: copy in detainee’s file to give upon discharge, second copy to medical personnel, third copy to mental health personnel, and the fourth copy for use according to facility’s procedures. GoCanvas allows you to do some customization to the standard PDF that is generated when you email or download your submission.
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