Chemical Dependency Screening

When it's

Time

for

Help.

Chemical Dependency Screening

Access Center 1.800.777.5722 24 hrs day/7 days

Chemical Dependency Screening

1. Do you abuse prescription or street drugs?	Yes No
2. Do you look forward to using drugs?	Yes No
3. Are you spending more time with other drug abusers?	Yes No
4. Are your prescriptions running out before the allotted time?	Yes No
5. Have you missed work due to drug use?	Yes No
6. Do you find it hard to enjoy life without drugs?	Yes No
7. Have people confronted you about your drug use?	Yes No
8. Do you have financial or legal problems due to your drug use?	Yes No
9. Have you tried to quit using drugs but can't?	Yes No
10. Do you feel that your problems go away when you use drugs?	Yes No
11. Do you have medical complications due to your drug use?	Yes No

River Crest Hospital is owned and operated by a subsidiary of Universal Health Services, Inc., one of the leading hospital management companies.

For more information on the company, visit www.uhsinc.com.