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CITY/COUNTY ALCOHOL & DRUG PROGRAMS Client Demographic Sheet PLEASE BRING PROOF OF INCOME AND PRINT CLEARLY First two letters of Name mothers first name Date of Birth Age SS# Race Address City State
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Citycounty alcohol amp drug refers to programs or regulations that govern the management and reporting of alcohol and drug-related activities and services within a specific city or county.
Entities and individuals involved in the sale, distribution, or provision of alcohol and drug-related services, including businesses and healthcare providers, are typically required to file citycounty alcohol amp drug.
To fill out citycounty alcohol amp drug, one must obtain the appropriate forms from the local health department or regulatory agency, complete all sections with accurate information, and submit it as per the guidelines provided.
The purpose of citycounty alcohol amp drug is to monitor and regulate alcohol and drug services, ensuring compliance with laws, improving public health and safety, and providing necessary data for community health planning.
Information that must be reported includes details on sales, distribution volumes, service types, client demographics, and any incidents related to alcohol and drug use.
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