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NYS Office of Alcoholism and Substance Abuse Services Client Discharge Report *FOR DISCHARGES DATED 1/1/2007 AND BEYOND Provider Number Program Number Provider Client ID Sex Male Female Birth Date
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How to fill out the NYS Office of Alcoholism:

01
Start by obtaining the necessary forms from the Office of Alcoholism and Substance Abuse Services (OASAS) website or by visiting their local office.
02
Fill out the personal information section, including your name, address, contact details, and any other required information.
03
Provide detailed information about your alcoholism treatment history, including any programs or services you have participated in.
04
Answer questions about your current alcohol use, including the frequency and quantity of alcohol consumed.
05
Include any relevant medical or mental health history that may impact your alcoholism treatment.
06
Provide information about your insurance coverage, if applicable, as well as any available financial resources for the treatment.
07
Attach any supporting documentation, such as medical records, treatment summaries, or court orders, if required.
08
Review the completed form to ensure all relevant sections are filled out accurately and completely.
09
Sign and date the form, acknowledging the accuracy of the information provided.
10
Submit the filled-out form either through mail, in person at an OASAS office, or through the online submission system, if available.
11
Keep a copy of the completed form for your records.

Who needs NYS Office of Alcoholism:

01
Individuals struggling with alcoholism or alcohol-related issues.
02
Family members or friends concerned about someone struggling with alcoholism.
03
Healthcare professionals or treatment providers who may require resources or support for alcoholism treatment.
04
Individuals seeking information, education, or support related to alcoholism prevention or treatment.
05
Government and community organizations working to address alcoholism issues in the state of New York.
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Individuals or organizations advocating for policies or legislation related to alcoholism treatment and prevention.
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The NYS Office of Alcoholism and Substance Abuse Services (OASAS) is responsible for regulating and overseeing alcoholism and substance abuse treatment and prevention programs in New York State.
Certain providers of alcoholism and substance abuse treatment programs in New York State are required to file reports with the NYS Office of Alcoholism and Substance Abuse Services.
Providers must complete the required forms and submit them electronically through the OASAS Secure Portal.
The purpose of the NYS Office of Alcoholism and Substance Abuse Services is to ensure that alcoholism and substance abuse treatment programs meet established standards and provide quality care to those in need.
Providers are required to report data on patient admissions, discharges, treatment services provided, and outcomes achieved.
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