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658 East Brier Drive, Suite 250, San Bernardino, CA Phone: 9095010728 Fax:9095010831 www.SBCounty.govDepartment of Behavioral Health San Bernardino County DBHSUDRS Calms Standard Discharge Instructions
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To fill out a substance use disorder form, follow these steps:
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- Begin by gathering all the necessary information such as personal details, medical history, and any relevant documents.
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- Start the form by entering your full name, date of birth, and contact information.
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- Next, provide information about your current substance use, including the type of substances used and the frequency and duration of use.
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- Answer any questions related to previous substance use, including any past treatment or rehabilitation programs.
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- In the form, provide details about any co-occurring mental health disorders or medication you are currently taking.
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- If you have any existing medical conditions, make sure to disclose them in the form.
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Who needs substance use disorder and?

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Substance use disorder treatment is necessary for individuals who:
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- Struggle with addiction to drugs or alcohol and desire to overcome their dependence.
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- Experience negative consequences in various areas of life due to substance abuse.
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- Suffer from physical and psychological health issues resulting from substance use.
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- Seek professional support and guidance to navigate the recovery process.
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- Want to improve their quality of life and regain control.
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- Have experienced unsuccessful attempts at quitting on their own.
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- Understand the importance of addressing substance abuse and are willing to commit to treatment.
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- Have a supportive network of family, friends, or healthcare professionals who encourage treatment.
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- Recognize the impact of substance use disorder on their overall well-being and are motivated to make positive changes.
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Substance use disorder is a condition that occurs when a person is unable to stop using substances despite negative consequences.
Healthcare providers and facilities are typically required to file substance use disorder forms for their patients.
Substance use disorder forms are typically filled out by providing information about the patient's history with substance use and any treatment they are currently receiving.
The purpose of substance use disorder forms is to track and monitor patients who are struggling with substance abuse and to ensure they are receiving proper care.
Information such as the type of substance being used, frequency of use, any previous treatment, and current treatment plan must be reported on substance use disorder forms.
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