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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DDAP-EFM-1305
for the current year.
Form DDAP-EFM-1305 Gambling Discharge Treatment Form - Pennsylvania
What Is Form DDAP-EFM-1305?
This is a legal form that was released by the Pennsylvania Department of Drug and Alcohol Programs - a government authority operating within Pennsylvania. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Form DDAP-EFM-1305?
A: Form DDAP-EFM-1305 is the Gambling Discharge Treatment Form used in Pennsylvania.
Q: Who uses the Form DDAP-EFM-1305?
A: The Form DDAP-EFM-1305 is used by individuals seeking treatment for gambling addiction in Pennsylvania.
Q: What is the purpose of the Form DDAP-EFM-1305?
A: The purpose of the form is to assess and document an individual's gambling-related treatment needs and progress.
Q: How can I obtain the Form DDAP-EFM-1305?
A: You can obtain the form from the Pennsylvania Department of Drug and Alcohol Programs (DDAP) or from a certified treatment provider.
Q: What information is required on the Form DDAP-EFM-1305?
A: The form requires personal information, gambling and treatment history, and a summary of treatment goals and progress.
Q: What should I do with the completed Form DDAP-EFM-1305?
A: The completed form should be submitted to the appropriate treatment provider or the Pennsylvania Department of Drug and Alcohol Programs (DDAP).
Q: Is the Form DDAP-EFM-1305 confidential?
A: Yes, the form contains confidential information and should be handled in accordance with privacy laws and regulations.
Q: Can I use the Form DDAP-EFM-1305 for purposes other than gambling discharge treatment?
A: The form is specifically designed for gambling discharge treatment and may not be suitable for other purposes.
Q: Are there any fees associated with the Form DDAP-EFM-1305?
A: There are no fees associated with obtaining or submitting the form.
Form Details:
- Released on July 1, 2021;
- The latest edition provided by the Pennsylvania Department of Drug and Alcohol Programs;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form DDAP-EFM-1305 by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of Drug and Alcohol Programs.
