Substance Abuse / Detox Admission Form Template

A specialized template for patients beginning detox or substance abuse treatment. It documents substance use history, date of last use, detox protocol, therapy plans, and patient consent, helping clinicians tailor treatment safely and effectively.

Key Features

  • Primary substance(s) used & duration

  • Withdrawal risk assessment

  • Detox protocol & medications ordered

  • Therapy and support services plan

  • Patient consent and acknowledgment

Who Should Use It

Detox centers, addiction treatment facilities, psychiatric units, and rehabilitation programs.

substance abuse detox admission form template for addiction treatment intake
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  • File Size 115.13 KB
  • File Count 1