Substance Abuse Assessment Report

Form Template

The Substance Abuse Assessment Report is an excellent tool for evaluating the previous drug and alcohol problems that have arisen with an individual seeking treatment, together with any past treatment programs.

5,000 Companies save time and money with GoCanvas

Lumen Logo Post Consumer Brands Logo Saluda Hill Landscapes Logo Te3co Logo Two Men and a Truck Logo VIP Lighting Logo

The substance abuse evaluation has a self-assessment test, questions about drug abuse and alcohol abuse, questions about family history of addiction, substance use and drinking problems, along with any substance abuse treatment that has been sought, and the outcomes of those treatment options.

The screening tool uses self-report measures on chemical dependency, but can also be used in a semi-structured interview with a drug or alcohol counselor that is evaluating previous substance dependence and use.

Screening instruments are vital tools that substance abuse professionals can use in interventions, treatment service, substance abuse screening, and prior to admission into a treatment program.

  • Signature Capture
  • Conditional Fields
  • Submission Editing
  • Reference Data
Read More
  • iPhone
  • iPad
  • Android
  • Windows
Read More
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
Read More
*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

Connect with one of our experts today.

We’ll help you put together the right solution for your needs.

Contact Us