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New York State Office of Impaired Driver Clinical Assessment Form

New York State Office of Impaired Driver Clinical Assessment Form 2025

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The document is an Impaired Driver Clinical Assessment Form from the New York State Office of Addiction Services and Supports. It outlines a comprehensive assessment process for individuals with substance use issues related to impaired driving. The form includes sections on presenting problems, substance use history, education and employment, mental health, medical health, family dynamics, social activities, legal involvement, and other documentation. It concludes with a diagnosis and treatment recommendations.

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