> ## Documentation Index > Fetch the complete documentation index at: https://docs.encoreos.io/llms.txt > Use this file to discover all available pages before exploring further. # forms — system form template reference > Flat per-field form template reference for AI/RAG retrieval, generated from fw_form_templates. Refresh with `npm run docs:forms:generate`. # Form Templates Reference (system defaults) {/* 3 templates, 56 fields. */} ```text theme={null} form Consent for SUD Treatment Disclosure (42 CFR Part 2) compliance patient_name Patient Name text required form Consent for SUD Treatment Disclosure (42 CFR Part 2) compliance patient_dob Date of Birth date required form Consent for SUD Treatment Disclosure (42 CFR Part 2) compliance program_name Program/Facility Name text required form Consent for SUD Treatment Disclosure (42 CFR Part 2) compliance purpose_of_disclosure Purpose of Disclosure select required form Consent for SUD Treatment Disclosure (42 CFR Part 2) compliance recipient_name Information Will Be Disclosed To text required form Consent for SUD Treatment Disclosure (42 CFR Part 2) compliance recipient_address Recipient Address textarea required form Consent for SUD Treatment Disclosure (42 CFR Part 2) compliance information_to_disclose Information to be Disclosed checkbox_group required form Consent for SUD Treatment Disclosure (42 CFR Part 2) compliance disclosure_start_date Consent Effective Date date required form Consent for SUD Treatment Disclosure (42 CFR Part 2) compliance disclosure_end_date Consent Expiration Date date required form Consent for SUD Treatment Disclosure (42 CFR Part 2) compliance right_to_revoke I understand I may revoke this consent at any time checkbox required form Consent for SUD Treatment Disclosure (42 CFR Part 2) compliance prohibition_notice I understand this information is protected by federal law and cannot be re-disclosed without my consent checkbox required form Consent for SUD Treatment Disclosure (42 CFR Part 2) compliance voluntary_consent This consent is voluntary and I have not been conditioned on signing checkbox required form Consent for SUD Treatment Disclosure (42 CFR Part 2) compliance patient_signature Patient Signature signature required form Consent for SUD Treatment Disclosure (42 CFR Part 2) compliance signature_date Date Signed date required form Consent for SUD Treatment Disclosure (42 CFR Part 2) compliance witness_name Witness Name text form Consent for SUD Treatment Disclosure (42 CFR Part 2) compliance witness_signature Witness Signature signature form Phase Advancement Request Form operations resident_id Resident ID hidden required form Phase Advancement Request Form operations current_phase Current Phase select required form Phase Advancement Request Form operations requested_phase Requested Phase select required form Phase Advancement Request Form operations time_in_current_phase Weeks in Current Phase number required form Phase Advancement Request Form operations meeting_attendance Recovery Meetings Attended (last 30 days) number required form Phase Advancement Request Form operations employment_status Employment Status select required form Phase Advancement Request Form operations community_service_hours Community Service Hours (last 30 days) number form Phase Advancement Request Form operations ua_results_clean All UA results clean in current phase checkbox required form Phase Advancement Request Form operations house_duties_compliant Compliant with house duties checkbox required form Phase Advancement Request Form operations self_assessment Self-Assessment: Why I'm ready to advance textarea required form Phase Advancement Request Form operations goals_for_next_phase Goals for Next Phase textarea required form Phase Advancement Request Form operations challenges_addressed Challenges I've Addressed textarea form Phase Advancement Request Form operations house_manager_endorsement House Manager Endorses Advancement checkbox required form Phase Advancement Request Form operations house_manager_comments House Manager Comments textarea form Residential Intake Form onboarding full_name Full Legal Name text required form Residential Intake Form onboarding preferred_name Preferred Name text form Residential Intake Form onboarding date_of_birth Date of Birth date required form Residential Intake Form onboarding gender Gender Identity select required form Residential Intake Form onboarding phone Phone Number phone required form Residential Intake Form onboarding email Email Address email form Residential Intake Form onboarding emergency_contact_name Emergency Contact Name text required form Residential Intake Form onboarding emergency_contact_phone Emergency Contact Phone phone required form Residential Intake Form onboarding emergency_contact_relationship Relationship text required form Residential Intake Form onboarding referral_source How were you referred? select required form Residential Intake Form onboarding referral_contact Referral Contact Name text form Residential Intake Form onboarding insurance_provider Insurance Provider text form Residential Intake Form onboarding insurance_id Insurance ID text form Residential Intake Form onboarding ahcccs_id AHCCCS ID (if applicable) text form Residential Intake Form onboarding medical_conditions Current Medical Conditions textarea form Residential Intake Form onboarding current_medications Current Medications textarea form Residential Intake Form onboarding allergies Known Allergies textarea form Residential Intake Form onboarding substance_history Substance Use History (brief) textarea form Residential Intake Form onboarding sobriety_date Sobriety/Clean Date date form Residential Intake Form onboarding previous_treatment Previous Treatment Programs textarea form Residential Intake Form onboarding program_preference Preferred Program Level select required form Residential Intake Form onboarding move_in_date Requested Move-In Date date required form Residential Intake Form onboarding length_of_stay Anticipated Length of Stay select form Residential Intake Form onboarding house_rules_acknowledged I acknowledge and agree to house rules checkbox required form Residential Intake Form onboarding consent_to_treatment I consent to recovery support services checkbox required form Residential Intake Form onboarding financial_responsibility I understand my financial responsibilities checkbox required ```