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MENTAL HEALTH & SUBSTANCE USE INTAKE REFERRAL FORM (FOR PATIENTS 19+) For persons best starting with Mental Health, fax to (250) 3813222 PLEASE PRINT LEGIBLY For persons best starting with Substance
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To fill out mental health substance use, follow these steps:

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Start by gathering all the necessary information about the individual's mental health and substance use. This may include medical history, current medications, any previous treatments or therapies, and details about the individual's substance use habits.
02
Use a comprehensive assessment tool or questionnaire designed specifically for evaluating mental health and substance use. These tools may cover various aspects such as the severity of substance use, mental health symptoms, risk factors, and dual diagnosis (when an individual has both mental health and substance use disorders).
03
Carefully read each question and provide accurate and honest answers based on the individual's current situation. Be sure to include any relevant details that could assist in understanding the individual's mental health and substance use.
04
If you're unsure about any question or need clarification, reach out to a mental health professional or substance use counselor for guidance. They can help ensure accuracy and provide additional support throughout the assessment process.
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After completing the mental health substance use assessment, review the answers to ensure accuracy and consistency. Make any necessary revisions, if applicable, before submitting or sharing the information with healthcare providers or treatment centers.
As for who needs mental health substance use, it is essential for individuals who are struggling with mental health conditions and co-occurring substance use disorders. This includes people experiencing symptoms of anxiety, depression, bipolar disorder, schizophrenia, or any other mental health issue, and are also engaging in substance use or have a history of substance abuse. Seeking mental health substance use evaluations can help provide appropriate treatment and support for these individuals.
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Mental health substance use refers to the co-occurrence of mental health disorders and substance use disorders.
Healthcare providers and facilities are required to file mental health substance use reports.
Mental health substance use reports can be filled out electronically through the designated reporting system.
The purpose of mental health substance use reporting is to track and monitor individuals with co-occurring mental health and substance use disorders.
Information such as diagnosis, treatment received, and medication prescribed must be reported on mental health substance use forms.
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