Mcdc application 2025

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The document is an application form for services at the Montana Chemical Dependency Center, detailing personal information required from applicants seeking treatment for substance use disorders. It includes sections on demographics, health insurance, current substance use, mental health history, legal involvement, and readiness for change. The form also outlines the assessment process using the American Society of Addiction Medicine (ASAM) criteria and emphasizes the need for medical and mental health records to complete the application.

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