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Canada Vancouver Coastal Health Central Addiction Intake Referral Package 2016 free printable template

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VANCOUVER COASTAL HEALTH CENTRAL ADDICTION INTAKE REFERRAL PACKAGE for SUPPORTIVE TRANSITIONAL LIVING RESIDENCES (Stars) and TREATMENT FACILITIES GENERAL INFORMATION Date of Referral:Date of Birth:
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Canada Vancouver Coastal Health Central Addiction Intake Referral Package Form Versions

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How to fill out Canada Vancouver Coastal Health Central Addiction Intake

01
Gather necessary personal information including name, contact details, and health card number.
02
Prepare a list of any current medications or treatments you are undergoing.
03
Identify your substance use history, including types of substances, frequency, and duration of use.
04
Understand your current mental health status and any previous treatments for addiction or mental health issues.
05
Fill out the intake form provided by Vancouver Coastal Health, ensuring all information is accurate and complete.
06
Submit the completed form through the designated channels (online, in person, or via phone) to the Central Addiction Intake team.
07
Await confirmation of receipt and further instructions or appointment scheduling from the intake team.

Who needs Canada Vancouver Coastal Health Central Addiction Intake?

01
Individuals experiencing issues related to substance use or addiction seeking assessment and support.
02
People who have a history of substance use and are looking to enter treatment programs.
03
Those facing mental health challenges alongside substance use problems.
04
Family members or loved ones of individuals needing support for addiction can also seek guidance through the intake process.
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Canada Vancouver Coastal Health Central Addiction Intake is a service that provides a centralized point of access for individuals seeking support for substance use and addiction-related issues in the Vancouver Coastal Health region.
Individuals who are experiencing substance use issues or addiction and are seeking help from services provided by Vancouver Coastal Health are required to file an intake.
To fill out the Canada Vancouver Coastal Health Central Addiction Intake, individuals usually need to provide personal information such as their name, contact details, substance use history, and any previous treatment experiences. This can often be done via an online form or by contacting the service directly.
The purpose of the Canada Vancouver Coastal Health Central Addiction Intake is to assess the needs of individuals seeking help for substance use issues, provide information about available services, and facilitate access to appropriate treatment options.
The information that must be reported includes personal identification details, a description of substance use patterns, any co-occurring mental health issues, previous treatment history, and any current or ongoing health concerns.
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