Please complete and print these forms before attending your assessment session. By doing this it will save you 30 to 40 minutes. If there are two versions of a document, one in Spanish and one in English, please use the one you feel most comfortable completing.

Por favor, completar e imprimir estos formularios antes de asistir a su sesión de evaluación. De esta manera se ahorrará entre 30 y 40 minutos. Si hay dos versiones de un documento, una en español y otra en Inglés, por favor, complete la que le parezca más sencilla.

• Informed Consent (English)
• Consentimiento y Acuerdo de Servicios
• HIPPA Consent
• Medical History (English)
• Historia Médica de Adulto
• Past Alcohol or Drug Use Questions (English)
• Cuestionario de Uso Pasado de Alcohol o Drogas

• www.drinkerscheckup.com
  
• www.moderatedrinking.com
  
• www.behaviortherapy.com

• What the Program Does
• What the Program Includes
  
• Assess your alcohol use
  
• Drink Wheel
  
• Assess your drug use
  
• Assess your gambling
  
• Assess your cigarette use
  
• Are you eligible?
  
• Map and Directions to NSU
  
• Campus Map
  

• Alcohol and Drug Use
  
• Smoking Cessation
  
• Primary Insomnia
  
• Gambling
  
• Alcohol Tolerance
  
• Program for Impaired
  Drivers
  
• Pregnant or Wanting to Get Pregnant and Stop Drinking
  or Smoking
  
  

• Aids For Changing Your Drinking On Your Own
  
• Online Forms
  
• Timeline Followback
  
• Books/Video
  
• Director: Linda Carter Sobell, Ph.D., ABPP
  
• Director: Mark B. Sobell, Ph.D., ABPP