Signature Creator

Please complete all fields and click:

Generate Your Signature

Full Name (plus Credentials if applicable)
Example: John Smith -OR- John Smith, LCSW

Job Title

Assigned Location
If you work at multiple centers, choose the location where report to most often.
Florida - RLC Corporate Florida - UAB - Billing Florida - UAB - Collections Florida - UAB - UR Washington - Lacey Detox Washington - Lacey Treatment Washington - Sumner Washington - Spokane Detox Washington - Mead Treatment Arizona - Chapter 5 Arizona - Detox Arizona - Sea Glass

Mobile Phone (Optional)
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Desk Phone Extension (Optional)