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Drug Abuse Screening Test-10 (DAST-10)
Prescreen Form

The DAST-10 is a 10 question screening tool used to measure a patient’s drug use patterns. This questionnaire aims to measure the consequences experienced due to drug use. This includes the use and abuse of all drugs (cocaine, heroin, marijuana etc.), illegal use of prescription medications, and over-the-counter medications. Alcohol and tobacco are not included in this screening.

Download the PDF: English | Spanish
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