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This letter has three purposes:
1. Transmit the attached questions and answers from the Regional Transmit the attached questions and answers from the Regional
Meetings on Working with Clients with Drug and/or Alcohol (D&A) Meetings on Working with Clients with Drug and/or Alcohol (D&A)
Problems. Problems. The material is divided into six parts: Forms Related; Employment Related; Supplemental Security Income (SSI) Related;
Medical Assistance Related; Implementation Issues; and Other.
2. Introduce the new DSS-4524, 4525, 4526 and 4527 forms. Introduce the new DSS-4524, 4525, 4526 and 4527 forms.
NEW DSS-4524: DSS-4524: "Notice About Signing the Required Consent for Disclosure of Medical and Non-Medical Records from Alcoholism and Drug Abuse Treatment Programs"
DSS-4525: "Consent for Disclosure of Medical and Non-Medical Records from Alcoholism and Drug Abuse Treatment Programs"
DSS-4526: "Medical Examination for Employability Assessment, Disability Screening, and Alcoholism/Drug Addiction Determination"
DSS-4527: "Alcoholism and Substance Abuse Treatment Program Progress Report"
3. Obsolete Forms DSS-2355 and DSS-2356. Obsolete Forms DSS-2355 and DSS-2356. The introduction of the four new drug/alcohol forms makes the following forms obsolete:
DSS-2355: "Medical Report (Employment)"
DSS-2356: "Psychiatric Report (Employment)"
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