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The assessment tool to be used is the:
Addiction Severity Index, 5
th
Edition;
Lite, Clinical Factors Version; University of Pennsylvania
Which we commonly refer to as the ASI-Lite CF
The full set of UCI elements are:
O
Birth First Name
O
Birth Last Name
O
Gender
O
Date of Birth
O
Place of Birth
O
Mother’s First Name
O
Zip Code at Current Residence
O
Current Last Name
O
Current First Name
O
SSN
O
CDC ID (optional)
O
Drivers License Number (optional)
O
Drivers License State (optional)