Form preview

Get the free Alcohol Use Disorders Identification Test (AUDIT-C)

Get Form
Patient Name: ___Medical Record #:___DOB:___Alcohol Use Disorder Identification Test (AUDIT) Screening Tool Instructions: This screening tool contains questions about patient alcohol use in the past
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign alcohol use disorders identification

Edit
Edit your alcohol use disorders identification 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 alcohol use disorders identification form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit alcohol use disorders identification online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit alcohol use disorders identification. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
It's easier to work with documents with pdfFiller than you could have believed. You may try it out for yourself by signing up for an account.

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 alcohol use disorders identification

Illustration

How to fill out alcohol use disorders identification

01
Obtain the AUDIT screening tool, which consists of 10 questions designed to assess alcohol consumption, drinking behaviors, and alcohol-related problems.
02
Ask the individual to answer each question honestly and to the best of their ability.
03
Score each response based on the AUDIT scoring guidelines, which range from 0-4 for most questions.
04
Add up the total score to determine the severity of alcohol use disorder: 0-7 = low risk, 8-15 = hazardous or harmful alcohol use, 16-19 = harmful alcohol use, 20+ = likely alcohol dependence.
05
Discuss the results with the individual and provide appropriate referrals or interventions based on their score.

Who needs alcohol use disorders identification?

01
Healthcare professionals and providers who are assessing patients for alcohol use disorders.
02
Individuals who suspect they may have an issue with alcohol consumption and want to get screened for AUD.
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
4.7
Satisfied
51 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.

It is possible to significantly enhance your document management and form preparation by combining pdfFiller with Google Docs. This will allow you to generate papers, amend them, and sign them straight from your Google Drive. Use the add-on to convert your alcohol use disorders identification into a dynamic fillable form that can be managed and signed using any internet-connected device.
Filling out and eSigning alcohol use disorders identification is now simple. The solution allows you to change and reorganize PDF text, add fillable fields, and eSign the document. Start a free trial of pdfFiller, the best document editing solution.
With the pdfFiller mobile app for Android, you may make modifications to PDF files such as alcohol use disorders identification. Documents may be edited, signed, and sent directly from your mobile device. Install the app and you'll be able to manage your documents from anywhere.
Alcohol use disorders identification is a systematic process used to recognize and assess the presence and severity of alcohol use disorders in individuals.
Individuals or healthcare providers who conduct screenings or assessments for alcohol use disorders are typically required to file alcohol use disorders identification.
To fill out alcohol use disorders identification, one must complete a standardized questionnaire or form that evaluates drinking patterns, consequences of use, and associated symptoms.
The purpose of alcohol use disorders identification is to accurately identify individuals at risk for alcohol-related problems and to facilitate appropriate interventions or referrals.
The report must include the individual's demographic information, assessment results, any previous interventions, and recommendations for treatment if necessary.
Fill out your alcohol use disorders identification 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.