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InitialAssessment ADDICTION ASSESSMENT FORM First Name: Address: Last Name: Martel: Revalidate of Assessment. O.B. Day Month Year Day Month Year Community/Family General Practitioner Age first took
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What is addiction assessment form?
The addiction assessment form is a document used to evaluate and assess an individual's addiction and to determine the appropriate treatment plan.
Who is required to file addiction assessment form?
Individuals who are seeking treatment for addiction or individuals who are mandated by court order to undergo addiction assessment are required to file the assessment form.
How to fill out addiction assessment form?
The addiction assessment form can be filled out by providing detailed information about the individual's substance use history, current symptoms, and treatment goals.
What is the purpose of addiction assessment form?
The purpose of the addiction assessment form is to gather information about an individual's addiction in order to develop an effective treatment plan and provide appropriate support.
What information must be reported on addiction assessment form?
Information such as substance use history, current symptoms, treatment goals, medical history, and any other relevant information must be reported on the addiction assessment form.
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