Rule 25 assessment form hennepin county 2009-2025

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The document is a fillable form for the DHS Rule 25 Assessment, used by the Alcohol and Drug Abuse Division. It provides instructions for completing the assessment, which evaluates a client's substance use, medical history, emotional and behavioral conditions, readiness for change, and recovery environment. The form includes sections for personal information, assessment dimensions related to substance use and mental health, and guidelines for confidentiality. It aims to identify the client's needs and risks to facilitate appropriate treatment.

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Click ‘Get Form’ to open the rule 25 assessment form in the editor.
Begin by filling out the 'Background Information' section. Enter the date of assessment request, assessor details, and client information such as name, date of birth, and primary language.
Proceed to 'Dimension I – Acute Intoxication/Withdrawal Potential'. Here, provide details about chemical use history and any withdrawal symptoms experienced. Use the text fields to elaborate on each substance used.
Continue through each dimension (II-VI), ensuring you answer all questions thoroughly. Each section focuses on different aspects like biomedical conditions, emotional health, readiness for change, and recovery environment.
Once completed, review your entries for accuracy. Save your progress frequently using the save feature in our platform to avoid data loss.
Finally, submit the form electronically or print it for physical submission as required.

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Versions	Form popularity	Fillable & printable
2013	4.9 Satisfied (330 Votes)
2009	4 Satisfied (31 Votes)

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What is rule 25 in the state of Minnesota?

What is a Rule 25 in Ramsey County MN? A Rule 25 is a meeting between a medical professional and a person that may have a substance abuse or chemical dependency problem, which assesses chemical health. The medical professional follows MN state guidelines, as outlined in state statute rule 25.

How to get a rule 25 in MN?

To apply, simply contact your countys social services department. Counties have a Rule 25 or Chemical Health department and county professionals in these can walk you through the application process.

What drug tests are required for DOT in Minnesota?

An alcohol abuse evaluation or any substance abuse assessment will ask you questions such as: How much alcohol do you drink? How often do you drink? What kind of alcohol do you drink? When was your last drink? What were the circumstances surrounding your last drink? Do you ever feel guilty or ashamed after drinking?