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PERSONAL & SUBSTANCE ABUSE HISTORY Biological / Psychological / Social AssessmentAssessors Name:Date of Assessment:General Information Client Name: Maiden (If Applicable): Date of Birth: Home Phone:
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What is PERSONAL & SUBSTANCE ABUSE HISTORY Form?

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Personal amp substance abuse refer to individual's personal information and any history of substance dependency or abuse.
Individuals who have a history of substance abuse are required to file personal amp substance abuse.
To fill out personal amp substance abuse, individuals must provide accurate and detailed information about their personal history with substance abuse.
The purpose of personal amp substance abuse is to create awareness and provide relevant information for medical and therapeutic interventions.
Information such as type of substance abuse, duration, frequency, treatment history, and current status must be reported on personal amp substance abuse.
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