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Outpatient Drug Free Drug Medical Admission Physical Examination Waiver Provider Name: Client Name: Client Identification #: Based on my review of the client s medical history, substance abuse history,

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What is drug medi-cal admission physical?

Drug Medi-Cal admission physical is a form that must be completed by individuals who are seeking substance abuse treatment services through the Drug Medi-Cal program. This physical examination helps determine the individual's eligibility for the program and ensures that they receive appropriate treatment for their specific needs.

Who is required to file drug medi-cal admission physical?

Individuals who are seeking substance abuse treatment services through the Drug Medi-Cal program are required to file a drug medi-cal admission physical. This includes individuals who are applying for the program for the first time, as well as those who are reapplying after a period of ineligibility or treatment completion.

How to fill out drug medi-cal admission physical?

To fill out the drug medi-cal admission physical, individuals must visit a qualified healthcare provider who is authorized to perform the examination. The healthcare provider will assess the individual's physical and mental health, as well as evaluate their substance abuse history. The completed form must then be submitted to the appropriate Drug Medi-Cal agency for review and eligibility determination.

What is the purpose of drug medi-cal admission physical?

The purpose of the drug medi-cal admission physical is to determine an individual's eligibility for substance abuse treatment services through the Drug Medi-Cal program. It helps ensure that individuals receive appropriate and necessary treatment based on their specific needs and conditions.

What information must be reported on drug medi-cal admission physical?

The drug medi-cal admission physical requires individuals to provide personal information such as their name, date of birth, and contact details. It also asks for details related to the individual's substance abuse history, mental health status, and current physical condition. The healthcare provider performing the examination will record their findings and recommendations on the form.

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