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Available Forms

New patient - Alcohol Screening Test
First and Last Name

AUDIT Screening Test

Drink Definitions - Some items below ask questions about how many drinks you have had. For the purpose of this screening test, a drink is defined as follows: 1) a single small (8oz; 1/2 pint) glass of beer 2) a single shot/measure of liquor/spirits 3) a single glass of wine.

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