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The Jean Tweed Center Palmerston House Intake Form Substance Use Information Date of last use: Are you currently in a substance use treatment program? Y/N Name of Program Graduation date Past substance
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The Jean Tweed Centre is an organization that focuses on providing support and services for women dealing with addiction and mental health issues. The form related to it typically pertains to the information collection required for clients seeking assistance.
Those seeking services from the Jean Tweed Centre, including individuals applying for treatment programs or support services, are typically required to fill out this form.
To fill out the form, individuals need to provide personal details such as their name, contact information, and relevant medical history, as well as specific information related to their needs and circumstances.
The purpose of the form is to collect necessary information to assess the individual's needs and provide appropriate support and services at the Jean Tweed Centre.
Information required on the form typically includes personal identification details, medical history, current treatment needs, and financial information for eligibility assessment.
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