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True Care
888-500-9661

Pre-Admission Form

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Patient Name
Is treatment mandated/ are you required to attend therapeutic services?
Have you ever received services from True Care?
Are you currently on medication?
Have you ever been on medication injections?
Any past or present history of substance abuse treatment?
Have you ever been hospitalized for psychiatric/mental health?
Have you ever spoken with a therapist or Psychiatrist?

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