Drug and alcohol evaluation forms: free download. On-line document store on 5y1.org

[DOC File]Developing a Drug and Alcohol Policy in the Emergency …
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Evaluation: On-going drug and alcohol testing will be completed in a manner prescribed by the policy and procedure developed for this purpose. It is the intent of (Emergency Service Organization) to provide such testing for the benefit of all parties concerned. Such testing will not be discriminatory and will be carried out with due concerns ...
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[DOC File]SAMPLE ADULT CD ASSESSMENT - Washington State
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Feb 29, 2008 · relapse/continued use potential insert drug/alcohol history data collection here. complete a comprehensive face-to-face diagnostic interview to obtain, review, evaluate, and document a history of the patient’s involvement with alcohol and other drugs, including type of substance, route of administration, amount, frequency, and duration of use.
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[DOC File]The purpose of the Drug Education, Evaluation, Treatment ...
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The Drug and Alcohol Education, Evaluation, Treatment, and Testing Program for Student Athletes at the University of California, Berkeley must be in accordance with the policy set forth by the University “code of student conduct” wherein the “unlawful” or “attempted manufacture, distribution, dispensing, possession, use or sale of ...
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[DOCX File]Sample DOT FAA Drug & Alcohol Testing Policy
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Nov 29, 2018 · As an employee, when you have violated DOT drug and alcohol regulations, you cannot again perform any DOT safety-sensitive duties for any employer until and unless you complete the SAP evaluation, referral, and education/treatment process set forth in 49 CFR Part 40, Subpart O and in applicable DOT agency regulations.
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[DOC File]DUI – Alternative Sentencing Program (ASP)
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Lehigh Valley Drug and Alcohol Intake: 610-923-0394. Please contact their office to schedule a drug and alcohol evaluation. Indicate below the date and time of your scheduled drug and alcohol evaluation. Date:_____ Time:_____
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[DOCX File]JOHNSON COUNTY DISTRICT COURT
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Choices Alcohol and Drug Assessments, Education and Counseling. Main Office: 405 S. Clairborne Rd., Suite 4 Olathe, KS 66062 *Additional Site-13830 Santa Fe Trail, Ste 112, Lenexa, KS 66215 & 8645 College Blvd#270, Overland Park, KS 66210. Phone 913-390-0100 . Fax 913-390-6161. Jeanna Allen
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[DOC File]DRUG AND ALCOHOL QUESTIONNAIRE - clarkclipsonphd
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Part III: Consequences Related to Alcohol or Drug Use. Please circle any problems that have persisted following your use of drugs or alcohol: Hepatitis or liver problems Persistent cough Hallucinations Strange thoughts. Congestion or wheezing Heart problems Depression Mania Loss of sex drive. Please circle any social or relationship problems ...
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[DOCX File]Sample DOT FAA Drug & Alcohol Testing Policy
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INTRODUCTION. It is the policy of (Your Company Name) (herein referred to as the “Company”) that the use, sale, purchase, transfer, possession, or presence in one’s system of any controlled substance (except medically prescribed drugs) by any (utilize the definition that is used within your company hand book to describe your employees – they can be just “employees” or e.g. “team ...
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[DOCX File]FULL ASAM ASSESSMENT - ADULT
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Amy has a 5 yr history of opioid use, beginning with prescription opioids and progressing to mixed prescription and heroin use. She has attempted multiple programs to try and manage her use and despite these attempts and escalating harmful consequences (loss of employment and independent housing), she continues to use.
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[DOC File]ArmyWriter.com Index
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Soldiers who appear on the MP blotter report for incidents involving alcohol and drugs will be referred to the Community Counseling Center for evaluation. Command referrals will also be made if an individual is suspected of having an alcohol or drug problem.
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Drug and alcohol evaluation forms