
Get the free MHNet-OTR-SubstanceAbuse-Likert-15308 Activated Traditional
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Pennsylvania Substance Abuse Outpatient Treatment Report 15308 Member Name (Please Print): Provider Name & License/Certification Type (Please Print): Member ID #: NPI: DOB: Tax ID #: / / Diagnosis:.
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mhnet-otr-substanceabuse-likert-15308 activated traditional is a survey tool used to assess substance abuse issues in traditional settings.
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Information such as frequency of substance abuse, types of substances abused, impact on daily life, and willingness to seek help must be reported on mhnet-otr-substanceabuse-likert-15308 activated traditional.
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