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Subject: Families First Drug Testing

Policy 23.06 Date of Last Review: 02/23/2024 Effective Date: 03/01/2024 Date of Next Review: 02/23/2027 RDA: SW22 Page 5 of 7 Supporting Documents HS-3074 FF/TANF Drug Screening-English HS-3074 FF/TANF Drug Screening-Spanish HS-3076 Drug Testing Referral-English HS-3076sp Drug Test Referral-Spanish HS-3078 Substance Abuse Evaluation & Drug Treatment Referral-English HS-3078sp Substance Abuse Evaluation and Drug Treatment Referral-Spanish HS-2557 HIPAA Authorization for Release of Medical/Health Information to TDHS-English HS-2557sp HIPAA Authorization for Release of Medical/Health Information to TDHS-Spanish HS-2557a HIPAA Authorization for Release of Medical/Health Information to TDHS-Arabic HS-2557s HIPAA Authorization for Release of Medical/Health Information to TDHS-Somali HS-2557LP HIPAA Authorization for Release of Medical/Health Information to TDHS-Large Print HS-2938 General Authorization for Release of Information by the Tennessee Department of Human Services to a 3rd Party-English HS-2938 General Authorization for Release of Information by the Tennessee Department of Human Services to a 3rd Party-Spanish HS-2938 General Authorization for Release of Information by the Tennessee Department of Human Services to a 3rd Party-Arabic HS-2938 General Authorization for Release of Information by the Tennessee Department of Human Services to a 3rd Party-Somali Families First Good Cause for Non-Compliance SAPT Block Grant Providers and Services Signs of Abuse and/or Neglect