Substance Abuse Templates

This form is used for requesting the release of mental health or substance abuse treatment information of an offender in Illinois.

This form is used for providing a summary of substance abuse assessment report in the state of Michigan. It helps to document and summarize the findings from a substance abuse assessment conducted by an authorized professional.

This form is used for screening and referring individuals with substance abuse issues in the state of Missouri.

This document provides information about drug and alcohol screening in the state of Montana. It covers the rules, regulations, and procedures for testing individuals for substances and provides guidelines for employers and employees.

This form is used for providing a description of a mental health or substance abuse condition or impairment in the state of Nebraska.

This document is a Risk Behavior Questionnaire specific to the state of Nevada. It is used to gather information about risky behaviors of individuals in Nevada.

This form is used for reporting substance use disorder in Nevada. It allows individuals to provide information about their own use of drugs or alcohol for treatment and support purposes.

This document is used to petition for special emergency substance abuse involuntary commitment in North Carolina. It is available in both English and Spanish.

This form is used for filing a petition and obtaining a custody order for special emergency substance abuse involuntary commitment in North Carolina. The form is available in both English and Vietnamese.

This form is used for releasing physical and mental health, substance abuse, and confidential court records for obtaining a concealed handgun permit in North Carolina.

This Form is used for the Pasrr Movement Program in the state of Ohio. The Pasrr Movement Program aims to assess the need for specialized services for individuals with mental health illnesses and developmental disabilities. This form helps in the identification and coordination of appropriate services for individuals in Ohio.

This form is used for acknowledging the requirement of pre-employment drug testing in the state of Ohio.

This form is used for referring individuals who need assistance with substance abuse issues in the state of Ohio.

This document is used in Ohio when an employee is not present to refer them to a Substance Abuse Professional (SAP) for evaluation and treatment regarding substance abuse issues.

This form is used for reporting on a substance abuse treatment program's aftercare activities in Ohio.

This Form is used for reporting on substance abuse treatment programs in Ohio.

This form is used for recording the usage of intranasal naloxone in the state of Oklahoma.

This document is used for signing in participants for naloxone training in Oklahoma.

This form is used for the USAF Drug and Alcohol Abuse Certificate.

This Form is used for determining sobriety in the context of the 59th Medical Wing (MDW). It helps evaluate an individual's ability to operate a vehicle or perform duties that require sobriety.

This form is used for reporting instances of noncooperation with chemical dependency treatment in the state of Washington.

This form is used for applying for accreditation for substance abuse programs in South Dakota.

This form is used for non-residents in Vermont to reinstate their driving privileges after a period of abstinence from alcohol and drugs.

This form is used to request verification of chemical dependency treatment in Washington State. The form is in Spanish.

This Form is used for certifying that a workplace is drug-free.

This form is used for filing a petition and obtaining a custody order for special emergency substance abuse involuntary commitment in North Carolina.

This document is used for issuing an involuntary commitment order for individuals suffering from substance abuse in North Carolina.

This Form is used for reviewing the risk rating and individual service plan of individuals with addiction in the state of Washington as per the guidelines provided by the American Society of Addiction Medicine.

This form is used for applying to the Pretrial Alcohol Education Program in Connecticut.

This form is used for applying for a Substance Abuse Marketing Service Provider License in Florida.