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APPETUIX 1 Template for Assessing a Clients Substance Use Date: Clients name: Circumstances of this Assessment: Client's reasons for seeking this Assessment: A: Substance use

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APPETUIX 1 Template for Assessing a Clients Substance Use Date: Clients name: Circumstances of this Assessment: Client's reasons for seeking this Assessment: A: Substance use history (note: AOD is an acronym for Alcohol and Other Drugs) Category of Drug Age of first use? Pattern of use Frequency of use Date/Amount of over time? In past month? most recent use

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