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FOR OFFICE USE ONLY CONFIDENTIAL MID # ALCOHOL/SUBSTANCE ABUSE ASSESSMENT FOR RE-LICENSING CLIENT INFORMATION FULL NAME (Printed) DRIVER LICENSE NUMBER MAILING ADDRESS (including city, state, zip)
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How to fill out alcohol/substance abuse assessment 9315:

01
Start by carefully reading the instructions provided with the assessment form. Make sure you understand the purpose and requirements of the assessment.
02
Begin by providing personal information such as your name, date of birth, and contact details. This will help identify you uniquely within the assessment system.
03
Answer all the questions honestly and to the best of your knowledge. The assessment form may cover various aspects of alcohol or substance abuse, including frequency of use, patterns of behavior, and any related consequences or problems.
04
Provide accurate details about your drinking or substance use history, such as the types of substances used, the amounts consumed, and any associated negative impacts on your personal or professional life.
05
If the assessment form includes questions about your mental or physical health, make sure to answer them in detail and mention any conditions that may be related to your alcohol or substance use.
06
Consider seeking the assistance of a healthcare professional if you feel overwhelmed or require clarification on any questions within the assessment form.
07
Once you have completed the assessment, review your answers for accuracy and completeness. Ensure that all required fields have been filled out correctly.
08
Submit the assessment form as instructed, whether it is through an online portal, mailing it to a specific address, or handing it to a designated individual.
09
It is important to remember that the purpose of this assessment is to help assess your alcohol or substance abuse habits and provide appropriate support and resources. Honesty and openness in your responses will aid in determining the most suitable course of action for addressing your needs.

Who needs alcohol/substance abuse assessment 9315?

01
Individuals who suspect they may have an issue with alcohol or substance abuse and would like a professional assessment to determine the severity of the problem.
02
Healthcare professionals who specialize in addiction treatment or counseling may require this assessment to better understand an individual's substance abuse history and provide appropriate care.
03
Employers, law enforcement agencies, or other organizations may request alcohol/substance abuse assessment 9315 as part of their screening processes or programs aimed at addressing substance abuse issues in the workplace or community.
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