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Day Treatment Program Application - Alberta Health Services 2026

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The document is an application form for the Day Treatment Program at the Fort McMurray Recovery Centre. It outlines the necessary information required for admission, including personal details, substance use history, treatment history, and medical background. The form emphasizes that referrals must come from AHS Addiction Services and includes sections for both the applicant and the referring person to complete.

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Click ‘Get Form’ to open the Day Treatment Program Application in the editor.
Begin by filling out your legal name, preferred name, and date of birth. Ensure that all information is accurate to avoid delays.
Provide your Personal Health Number (PHN) and select your gender and marital status from the options provided.
Complete your mailing address and contact information, including home and alternate phone numbers.
In the section regarding substance use, describe in detail your alcohol or drug use patterns, including frequency and duration. Be honest for a better assessment.
Detail any treatment history you have had with Alberta Health Services or other agencies, including reasons for previous treatments.
Address any special needs or allergies you may have, as well as current medications you are taking.
Finally, read the consent section carefully before signing and dating the application. Ensure all pages are completed before submission.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (99 Votes)
2015	4 Satisfied (33 Votes)

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What is going on with Alberta Health Services?

According to the Alberta government, more than 16,000 Alberta Health Services staff members have been transferred to four new health agencies (Acute Care Alberta, Primary Care Alberta, Recovery Alberta and Assisted Living Alberta) since the reorganization was announced in November 2023.

What is the Alberta Health Services Screening Program?

Alberta has 4 provincial, population-based cancer screening programs. These programs screen Albertans for , cervical, colorectal cancer and lung cancer screening which is starting a pilot phase in September 2022. They follow guidelines that are based on evidence for screening women and men.

What is the Adult Day Program in Alberta?

Adult Day Program (ADP) ADP provides socialization, recreation activities and exercise programs for home care clients and provides respite to family caregivers of adults 18+ who are medically stable.

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What is the purpose of the day hospital?

Day hospitals, developed during a period when community care was rudimentary, aimed to provide comprehensive nursing, medical and rehabilitative care for old people as an alternative to hospital admission.

What is the day hospital program in Alberta?

Day Hospital provides intensive treatment for individuals who are decompensating within the community and without intervention/stabilization would require acute inpatient psychiatric care. The Day Hospital is a short-term and goal-oriented service.

What do you do in a day hospital?

The day hospital is an outpatient facility for older patients. Patients come for a full or nearly full day to get rehabilitation from different healthcare professionals (a multidisciplinary team). A consultant leads the team. They provide geriatric assessments for patients over 65 years old.

What is the fast program in Alberta Health Services?

Facilitated Access to Specialized Treatment (FAST) is a central access and intake program for some surgical referrals. The program improves patient access to specialty care by centralizing referral intake, ensuring referrals are complete, and distributing referrals to specialists.