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STATE OF FLORIDA SUBSTANCE ABUSE & MENTAL HEALTH SUBSTANCE ABUSE DETOX FORM (* Mandatory Fields)(Reference: Chapter 6C, DCF Pam 1552)Clients Name:1. *CLIENT SSN: The SSN must be 9 digits without dashes.
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What is SUBSTANCE ABUSE DETOX Form?

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Substance abuse detox form is a document used to report the detoxification process for individuals struggling with substance abuse.
Healthcare professionals or facilities responsible for overseeing the detox process are required to file substance abuse detox form.
The form should be filled out with accurate information about the individual undergoing detox, the detox methods used, and any medications administered during the process.
The purpose of substance abuse detox form is to document and track the detoxification process for individuals with substance abuse issues.
Information such as the individual's name, date of birth, detox start and end dates, detox methods used, and any medications administered must be reported on substance abuse detox form.
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