The Philosophy of the Working Mens Residential Program 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'Personal Information' section. Enter your name, date of birth, phone number, email address, and address. Ensure all details are accurate for effective communication.
3. In the 'Employment Information' section, indicate your employment status. If employed, provide your occupation and employer details. If not, specify your last employment and current source of income.
4. Complete the 'Substance Use & Treatment History' section by detailing substances used in the past year. Include frequency and amount for each substance listed.
5. Fill out the 'Medical Information' section with any current medical conditions, allergies, and medications you are taking. This information is crucial for your treatment plan.
6. Provide legal information if applicable, including any pending court cases or probation status.
7. Finally, review all sections for accuracy before signing at the bottom to certify that all information is true and complete.

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