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More information Download options English pdf English doc Spanish Symptom checklist Given to patients to assess level of alcohol or substance use disorder 11 questions Psychometrically validated Note: does not qualify towards the Oregon SBIRT CCO incentive measure More information on the alcohol checklist More information on the drug use checklist Download options Alcohol English doc Alcohol English pdf Drugs English doc Drugs English pdf Alcohol Spanish Drugs Spanish Alcohol Chinese (traditional) Drugs Chinese (traditional) Alcohol Cantonese (traditional) Drugs Cantonese (traditional) Alcohol Japanese Drugs Japanese Alcohol Korean Drugs Korean Alcohol Russian Drugs Russian Alcohol Vietnamese Drugs Vietnamese Other screening forms: PHQ-9 Given to patients age 18 or older to screen or diagnose depression disorder, measure the severity of symptoms, and measure a patients response to treatment

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