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621 E. Carnegie Dr., Suite 210, San Bernardino CA | Phone: 9095010728 Fax:9093812172 www.SBCounty.govDe part me NT of Be behavioral HealthResetADULT (21+) ADAM LEVEL OF CARE SCREENING Screener Instructions:
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Start by gathering all necessary information about the individual's substance use history.
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Fill out the appropriate sections of the form, including information about the type of substances used, frequency of use, and any past treatment.
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Review the completed form for accuracy and completeness before submitting it to the appropriate healthcare provider.

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Individuals who are struggling with substance abuse and addiction may need to fill out a substance use disorder form in order to receive proper diagnosis and treatment.
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Healthcare providers and professionals may also need this information to develop a comprehensive treatment plan for their patients.
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Substance use disorder is a condition in which a person continues to use drugs or alcohol despite negative consequences.
Healthcare providers are required to file substance use disorder forms.
Substance use disorder forms can be filled out online or submitted in paper form.
The purpose of substance use disorder forms is to track and monitor substance abuse trends.
Information such as type of substance used, frequency of use, and any related medical conditions must be reported on substance use disorder forms.
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