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Evaluations
Call today for your Free Consultation prior to coming in for a full Evaluation.
Full Evaluations Include the following:
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Standardized Interview
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- Demographic Information Gathered
- Alcohol and Drug Usage History
- Family/Social Support History
- Medical History
- Psychological-Emotional History
- Legal History
- Educational History
- Employment History
- Sexual History
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Domestic Violence Screening Tool
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Substance Abuse Subtle Screening Inventory III (SASSI 3)
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Michigan Alcoholism Screening Test (MAST)
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Family Genogram
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Present Problem List
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Includes Strengths and Limitations
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Consents: Release of Information filled out and signed
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HIV/AIDS information obtained and signed
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Confidentiality Rule Form CFR42 Signed
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HIPPAA Regulations Form signed as being offered or received
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Insurance Information Gathered and Benefits Obtained
Each Evaluation lasts up to one and one half hours. The individual will be given recommendations following the evaluation.
As a courtesy letters of participation and recommendation will be sent
to whomever is in need of acknowledging
your attendance.
Contact me Today to schedule or inquire for an evaluation:
785-845-5416 or jlees@topekatherapy.com