| A).
Medical History:
 Does
the individual have any medical
problems? (Please describe)
Is the individual currently taking
any medications? yes
no
If
yes, please specify what and length of
use:
B).
Legal History:
Does
the individual have a valid drivers
license? yes
no
Has
the individual ever been arrested? (If
so, for what)
Are
any crimes actively being committed to
support, or as a result of the
alcoholism or addiction?
C).
Substance Abuse History:
At
what age did the individual start using
the substance?:
Different
drugs used:
Method
of use:
Past
treatment attempts (What rehab, when,
results:
D).
General Contact Information:
Your
Relation to the Alcoholic/Addict:
Alcoholics/Addicts
Name:
City
and State in which they live:
Can
they travel outside of this area for
treatment? yes
no
How
old is the addict ?
Current
drug (s) their using:
Question/Comment/How
can we help you:
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content on this web site is Copyright © 2003 - 2014 Texas
Drug Rehab Helpline
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Texas
Crystal Meth problem
Methamphetamine addiction in Texas
is becoming common place in most communities in Texas. more
families than ever before are affected by this.
|
Texas families can overcome this
problem, drug addiction treatment is the first step in recovery.
|
The City of Austin is the capital of the U.S. state of Texas and the
county seat of Travis County. According to the 2000 U.S. Census, Austin
has a population of 656,562 people, making it the fourth-largest city in
Texas and the 16th largest in the United States. A 2004 U.S. Census
estimate placed the population of the city at 681,804. Situated in the
region of Central Texas, the Austin-Round Rock metropolitan area is one
of the fastest-growing in the United States and is home to an estimated
population of 1.4 million as of 2004.
From Wikipedia, the free encyclopedia
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