Follow the steps to complete the assessment form effectively.

1. Press the ‘Get Form’ button to access the Substance Abuse Assessment.doc. This will open the document in your preferred editor for completion.
2. Begin by filling in the client’s personal information at the top of the form, including their name, job title, employer, and any pertinent information regarding the referral made by an employer.
3. In the 'Substances used and history' section, indicate the client's history with various substances by marking the appropriate response for each substance listed (never used, currently using, past use) and providing the age of first use.
4. For each substance used or abused, describe the type, amount, and frequency. This helps clarify the extent of use and gives context to the assessment.
5. Respond to the questions regarding dangerous use situations, attendance at obligations, loss of interests, and emotional reliance on substances. For each 'Yes' answer, provide a detailed description.
6. Review the work problems section and check any applicable issues related to the client’s employment, including policy violations and performance concerns.
7. Document any family problems exacerbated by substance use in the corresponding section, checking all relevant boxes.
8. List any legal or financial problems the client may be facing, alongside descriptions as needed.
9. Record any mental health disorders and physical or medical problems associated with substance use by checking applicable boxes and providing additional comments.
10. Complete the section on the client's control over their substance use, noting any loss of control or history of attempts to reduce use.
11. Fill in the multi-axial diagnostic impressions, outlining relevant diagnoses and prognosis.
12. Check any recommended treatment options and provide details for the recommended program, facility, or counselor.
13. Have the counselor sign and date the form before submission. Ensure all sections are complete to avoid delays.
14. Save your changes, then download or print the completed assessment for sharing as needed.

Complete your Substance Abuse Assessment online today to ensure a thorough evaluation.