Rule 25 assessment and placement summary 2026

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  1. Click ‘Get Form’ to open the Rule 25 Assessment and Placement Summary in the editor.
  2. Begin by entering the client’s name and PMI at the top of the form. Ensure accuracy as this information is crucial for identification.
  3. Fill in the assessor's name and the date of assessment. This establishes accountability and provides a timeline for services.
  4. Review the DSM IV-TR criteria section. Check whether the client meets criteria for substance abuse or dependence, ensuring that all relevant details are documented.
  5. For each dimension listed (Intoxication/Withdrawal, Biomedical, Emotional/Behavioral/Cognitive, Readiness for Change, Relapse & Continued Use, Recovery Environment), select the appropriate severity rating from 0 to 4 based on your clinical judgment.
  6. Document any service coordination needs if applicable. Include provider names and contact information to facilitate follow-up services.
  7. Once completed, review all entries for accuracy before saving or exporting your document. This ensures that all necessary information is captured correctly.

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An alcohol abuse evaluation or any substance abuse assessment will ask you questions such as: How much alcohol do you drink? How often do you drink? What kind of alcohol do you drink? When was your last drink? What were the circumstances surrounding your last drink? Do you ever feel guilty or ashamed after drinking?
A Comprehensive Chemical Health Assessment (call 612-249-3656 to schedule an appointment) is a meeting between a mental health clinician and a person that may have a substance abuse or chemical dependency problem, which assesses overall chemical health.

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