Get Daanes

Filling out the Daanes form is a crucial step for individuals involved in chemical dependency treatment programs. This guide provides you with clear and concise instructions to help you complete the Daanes online efficiently.

Follow the steps to complete the Daanes form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the Admission Information section. Enter the client's initials in the designated fields, ensuring to follow the specified format.
3. Input the client’s date of birth in the MM/DD/YYYY format, along with the last four digits of their Social Security Number in the respective fields.
4. Select the date of admission and specify the insurance type based on the client's coverage.
5. Proceed to the Placement Information tab and select the current chemical dependency treatment type planned for the client.
6. In the Criminal Justice tab, answer questions about the client’s legal status, including any recent arrests.
7. Continue to the Client Profile tab, providing details regarding gender, race, and current marital status, among other demographic information.
8. Fill out the Prior CD Treatment Experience tab to provide insights into the client's previous treatment history, if applicable.
9. In the Alcohol and Drug Use tab, record any substance use in the past 30 days and the client's history of injection drug use.
10. Rate the client’s chemical health severity in the respective tab, assessing six dimensions related to their condition.
11. Once all sections are filled out accurately, click the ‘Click to Update’ button to save your progress. Ensure that there are no error messages before proceeding.
12. After completing all necessary tabs for admission, review the information for accuracy before finalizing the submission.
13. Once completed, options to save changes, download, print, or share the form will be available at the end of the process.

Complete the Daanes form online to ensure effective and compliant treatment documentation.