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Process - Physician - Fraser Health Authority

Process - Physician - Fraser Health Authority

Process - Physician - Fraser Health Authority

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DIAGNOSTIC SCREENING WORKSHEET (CONTINUED)(SCALE: 1=WORST, 10=BEST)P³OMP² 1 TO 10 COMMENTSPanic AttacksPhobiasPTSDOCDMood Patterns• Dysthymia• Depression• ManiaPsychosisPersonalityCAGES 1 TO 10 COMMENTSAlcohol• Cut down• Annoyed• Guilty• Eye openerSubstancesFamily Psych HistoryMedication HistoryCBIS MANUAL | MAY 2009ASSESSMENT | 1927

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