Get Asac Pre-assessment Form 2018-2025

Filling out the ASAC Pre-Assessment Form online can be an essential step in accessing support services. This guide provides clear and comprehensive instructions to help you navigate through each section of the form confidently.

Follow the steps to complete the ASAC Pre-Assessment Form effectively.

1. Press the ‘Get Form’ button to initiate the process and open the form in an accessible online format.
2. Begin by filling in your name and date at the top of the form. Ensure that your information is accurate, as this will help streamline communication.
3. In the gender identification section, clearly state how you identify. You may also note any other names you have used previously.
4. Complete the ethnicity and race sections by selecting the appropriate options that represent you best.
5. Indicate whether you are a veteran by checking 'Yes' or 'No'.
6. Select your preferred communication method and how you would like to be contacted. You can also choose to receive appointment reminders via text.
7. Respond to the questions regarding recent substance use, including needles, gambling behavior, and any involvement with the Department of Human Services (DHS). Fill in the name of your caseworker if applicable.
8. Rate your health in the health information section and specify any medical or mental health concerns.
9. List your current healthcare providers, including primary care and mental health providers, along with their practice locations.
10. Answer the questions related to abuse and trauma history, ensuring to mark whether you have been a victim or a witness.
11. Fill in your education and employment information carefully, providing truthful responses to questions regarding special education and financial needs.
12. Detail your living situation, including information about children and any current household issues related to substance use or mental health.
13. Complete the legal history section by providing information regarding any past or pending legal issues.
14. Answer questions regarding cultural and spiritual identification, and indicate any assistance areas you may need help with, including family counseling or transportation.
15. After answering all sections, review your responses for accuracy. You can then save your changes, download, print, or share the form as needed.

Start filling out the ASAC Pre-Assessment Form online today to access the support services you need.