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ILLINOIS DEPARTMENT OF HUMAN SERVICESDivision of Alcoholism and Substance Abused ASA CONTRACT PROGRAM MANUAL20 16Table of Contents Introduction/Definitions ...........................................................................................................
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How to fill out alcoholism and:

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Understand the purpose of alcoholism and. Alcoholism and is a form that is typically used by individuals seeking assistance or treatment for alcoholism. It helps professionals gather information about someone's drinking habits, history, and related factors.
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Begin by providing personal details. This section usually requires basic information such as the individual's name, date of birth, contact information, and social security number. Make sure to accurately fill in these details.
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Answer questions about drinking habits. The form will usually inquire about the frequency and quantity of alcohol consumption. Be honest and provide as much information as possible. This will help professionals assess the severity of the alcoholism and determine the appropriate treatment plan.
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Include medical history. Alcoholism can have various impacts on an individual's physical health. Include information about any existing medical conditions, medications being taken, and previous treatments for alcoholism or substance abuse.
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Consider providing a detailed alcohol consumption history. This may involve documenting the duration of alcoholism, any prior attempts at quitting or cutting down, and any negative consequences experienced as a result of drinking.
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Answer questions related to mental health. Alcoholism often coexists with mental health issues such as depression, anxiety, or bipolar disorder. Include information about any existing mental health conditions or previous diagnoses.
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Be prepared to disclose any current or past legal issues related to alcohol use. This may involve arrests for DUI (driving under the influence) or other alcohol-related offenses. Provide accurate details about any legal consequences faced.

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In summary, filling out alcoholism and involves accurately providing personal information, answering questions about drinking habits and related factors, disclosing medical and mental health history, and potentially sharing any legal issues. This form is needed by individuals seeking treatment, healthcare professionals, treatment centers, and researchers.
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Alcoholism is a chronic condition characterized by an inability to control or stop alcohol consumption.
Any individual or organization that is mandated by law or regulations to report on alcoholism.
Alcoholism forms can typically be filled out online or submitted in person to the appropriate regulatory body.
The purpose of alcoholism reporting is to track and monitor alcohol consumption and its effects on individuals and society.
Information such as the individual's alcohol consumption patterns, any related behaviors, and any treatment or interventions received.
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