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The document is an initial interview form for the NC-TOPPS (North Carolina Treatment Outcomes and Program Performance System) specifically designed for adolescents aged 12-17 dealing with mental health and substance use disorders. It includes sections for collecting consumer information, service details, diagnostic classifications, and various assessments related to the individual's health, education, and social circumstances. The form emphasizes confidentiality and outlines the importance of entering data into a web-based system rather than mailing the physical form.

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