Dhs2794eng rule 25 assessment 2026

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The document is a Rule 25 Assessment and Placement Summary form used for evaluating clients' chemical use and related needs. It includes guidelines for assessing various dimensions such as intoxication, biomedical factors, emotional and behavioral issues, readiness for change, relapse potential, and recovery environment. The form requires documentation of severity ratings and service coordination details to ensure appropriate referrals and support for clients.

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Click ‘Get Form’ to open the dhs2794eng rule 25 assessment in the editor.
Begin by entering the CLIENT NAME, PMI, ASSESSOR, and ASSESSMENT DATE at the top of the form. Ensure all fields are filled accurately for proper documentation.
For each dimension listed (Intoxication/Withdrawal, Biomedical, Emotional/Behavioral/Cognitive, Readiness for Change, Relapse and Continued Use, Recovery Environment), select a severity rating from 0 to 4. Document any relevant provider information as needed.
In the Assessment Summary section, summarize the information gathered from the client and collateral sources that led to your severity ratings. This should align with the reasons documented in each dimension.
Review all entries for accuracy and completeness before saving your work. Ensure that this form remains in the client file as required.

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