Aod sud intake and assessment - Alameda County Behavioral Health 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the CLIENT INFORMATION section. Enter the client's first and last name, Medi-Cal PSP#, date of birth, preferred name, and admission date.
3. Proceed to EMERGENCY CONTACT INFORMATION. Provide details about the emergency contact, including their relationship to the client, address, and phone number.
4. In the PERSONAL INFORMATION section, select options for sex assigned at birth, gender identity, and preferred pronoun. This ensures accurate representation of the client.
5. Complete the ALCOHOL AND DRUG HISTORY section by checking relevant boxes for substance use history and providing additional details as required.
6. Fill out MEDICAL HISTORY with relevant medical information, including previous treatments and current medications.
7. Continue through MENTAL HEALTH HISTORY and PSYCHOSOCIAL HISTORY sections by answering questions regarding psychiatric treatment and social factors affecting substance use.
8. Finally, review all entries for accuracy before submitting your completed form through our platform.

Start using our platform today to easily complete your AOD SUD Intake and Assessment form for free!