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1Lunar Screening Form upon Admissions *******DATE:INTERVIEWER NAME:Applicant Data Applicant NameAgePHN:S.I. YYY MMM dd D.O. Betel:Length of abstinence as of today?MMMDDYYYYor Clean Date:Are you an
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Phoenix Drug & Alcohol is a program designed to help individuals struggling with substance abuse issues.
Individuals who are enrolled in the program or seeking treatment for drug and alcohol abuse are required to file Phoenix Drug & Alcohol forms.
To fill out Phoenix Drug & Alcohol forms, individuals must provide detailed information about their drug and alcohol use, treatment history, and current status.
The purpose of Phoenix Drug & Alcohol is to track individuals' progress in treatment, monitor their drug and alcohol use, and provide support as needed.
Information that must be reported on Phoenix Drug & Alcohol forms includes drug and alcohol use history, treatment plan, counseling sessions, and any relapses.
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