Form preview

Get the free Addiction Severity Index - 5th Edition

Get Form
2021 1. (Personal Information) (Marital Status) Single A.Yes__No__ B. Social Security Number Name (Social Security Card) Yes___ No___ Full Name: ___ Social Security Number: ___ ___ ___ C. : Yes ___
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign addiction severity index

Edit
Edit your addiction severity index form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your addiction severity index form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit addiction severity index online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit addiction severity index. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
The use of pdfFiller makes dealing with documents straightforward.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out addiction severity index

Illustration

How to fill out addiction severity index

01
Start by providing the necessary demographic information such as name, age, gender, etc.
02
Evaluate the different areas of concern like medical, employment, drug/alcohol use, legal, family/social, and psychiatric status.
03
Use the scoring guide to assess the severity of each area on a scale of 0 to 4, with 0 representing no problem and 4 representing extreme problem.
04
Sum up the scores for each area to get a total score which indicates the overall severity of addiction.
05
Review and analyze the results to determine the appropriate treatment plan.

Who needs addiction severity index?

01
Individuals seeking treatment for substance abuse or addiction.
02
Healthcare professionals and counselors assessing the severity of addiction in their patients.
03
Researchers studying addiction and its impacts on various populations.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.9
Satisfied
27 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Add pdfFiller Google Chrome Extension to your web browser to start editing addiction severity index and other documents directly from a Google search page. The service allows you to make changes in your documents when viewing them in Chrome. Create fillable documents and edit existing PDFs from any internet-connected device with pdfFiller.
You may quickly make your eSignature using pdfFiller and then eSign your addiction severity index right from your mailbox using pdfFiller's Gmail add-on. Please keep in mind that in order to preserve your signatures and signed papers, you must first create an account.
Use the pdfFiller mobile app and complete your addiction severity index and other documents on your Android device. The app provides you with all essential document management features, such as editing content, eSigning, annotating, sharing files, etc. You will have access to your documents at any time, as long as there is an internet connection.
The Addiction Severity Index (ASI) is a structured interview that is used to assess the severity of substance abuse and related problems.
Individuals who are seeking treatment for substance abuse or addiction may be required to complete the Addiction Severity Index as part of their intake process.
The Addiction Severity Index is typically administered by a trained professional who will ask a series of questions about the individual's substance use, medical history, psychiatric status, legal situation, and social functioning.
The purpose of the Addiction Severity Index is to provide a comprehensive assessment of the individual's substance abuse and related problems, in order to develop an appropriate treatment plan.
The Addiction Severity Index asks for information about the individual's substance use, medical history, psychiatric status, legal situation, employment status, and social relationships.
Fill out your addiction severity index online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.