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Alcohol Screening and Brief Intervention
Screening for Heavy Drinking
Do you sometimes drink any alcoholic beverages?
If "no" screening is complete
Heavy drinking days
Heavy drinking days
Drinks per week
• • •
Drinks per day
• • •
Assessment for Alcohol Use Disorders
Explanation
Alcohol abuse
Consequences of drinking determining dependence
• • •
Alcohol dependence
Consequences of drinking determining abuse
• • •
Brief Intervention for at risk drinkers

Alcohol Screening and Brief Intervention Medical Form

Cardiologist

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Published: March 12, 2018, 3:27 p.m.
Doctor: Dr. History Physical
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