CRAFFT Adolescent Substance Abuse Screening
Form Preview
CRAFFT Adolescent Substance Abuse Screening
Page 1 of 2
Sign up and start customizing in minutes.
The CRAFFT Adolescent Substance Abuse Screening form implements the CRAFFT 2.1 questionnaire, the most widely recommended screening tool for substance use risk in adolescents and young adults ages 12 to 21. The acronym CRAFFT represents six screening questions about substance-related experiences: riding in a Car driven by someone under the influence, using substances to Relax, using substances while Alone, Forgetting things while using substances, being told by Family or friends to cut down, and getting into Trouble while using substances.
The digital form begins with Part A, which asks about any use of alcohol, cannabis, tobacco, or other substances in the past 12 months. Patients who report any use proceed to Part B, the six CRAFFT questions. Each positive response scores one point, with a score of two or more indicating a need for further clinical assessment. The form also includes the Car question as a stand-alone safety screen, since riding with an impaired driver represents an immediate danger regardless of the patient's own substance use patterns.
This template is designed for pediatric practices, adolescent medicine clinics, school-based health centers, and any clinical setting serving teens and young adults. The CRAFFT is endorsed by the American Academy of Pediatrics for routine use during adolescent well visits and is included in Bright Futures screening guidelines. The form uses developmentally appropriate, non-judgmental language and includes confidentiality reminders that align with state minor consent laws for substance use treatment.
What's included
- Part A substance use frequency questions
- All six validated CRAFFT screening items
- Structured scoring with risk-level interpretation
- Standalone Car question safety screen
- Developmentally appropriate language for teens
- Confidentiality notice aligned with minor consent laws
Who uses this template
- Pediatric and adolescent annual well visits
- School-based health center screenings
- Adolescent medicine clinic intake assessments
- College and university student health screenings
All form fields
14 fields across 2 pages. Customize any field after signing up.
How to use the CRAFFT Adolescent Substance Abuse Screening
Getting started with this template takes just a few minutes. Sign up for a free Formisoft trial, then select the CRAFFT Adolescent Substance Abuse Screening from the template library. The form is ready to use immediately, but you can customize every field, add your practice logo, and adjust the layout to match your workflow.
Setup steps
- 1Choose the template. Find the CRAFFT Adolescent Substance Abuse Screening in the template library and click “Use this template” to add it to your account.
- 2Customize fields. Add, remove, or reorder any of the 14 fields. Set fields as required or optional based on your practice needs.
- 3Brand it. Upload your logo, pick your colors, and add a custom welcome message so patients see your practice identity.
- 4Share with patients. Send the form via SMS, email, or embed it on your website. Patients complete it on any device before their visit.
- 5Review submissions. Responses appear in your dashboard in real time. Patient records are created automatically from the data collected.
Frequently asked questions
Is the CRAFFT Adolescent Substance Abuse Screening HIPAA compliant?
Yes. All Formisoft templates, including the CRAFFT Adolescent Substance Abuse Screening, are HIPAA compliant. Data is encrypted with 256-bit AES at rest and TLS 1.3 in transit. A Business Associate Agreement (BAA) is included on every plan.
Can I customize the fields in this template?
Absolutely. You can add, remove, reorder, or modify any of the 14 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.
How do patients fill out this form?
Patients receive a link via SMS, email, or QR code. They complete the form on their phone, tablet, or computer before their appointment. No app download required.
Can I send this form automatically before appointments?
Yes. Formisoft's workflow automation can send intake forms automatically when an appointment is booked. You can set the timing (e.g., 48 hours before the visit) and include reminders for patients who haven't completed it.
Does this template work on mobile devices?
Yes. The CRAFFT Adolescent Substance Abuse Screening is fully responsive and works on any device. Most patients complete intake forms on their phone, so every template is optimized for mobile-first use.
Start with this template
Sign up and start customizing the CRAFFT Adolescent Substance Abuse Screening for your practice. Set up in minutes.
Related templates
Substance Use Screening (CAGE-AID)
Substance use screening based on CAGE-AID adapted for drugs and alcohol. Includes frequency assessment, impact evaluation, and readiness for change. For primary care and behavioral health screening.
AUDIT Alcohol Screening Form
WHO Alcohol Use Disorders Identification Test (AUDIT) screening form to identify hazardous drinking, harmful alcohol use, and potential alcohol dependence in patients.
Pediatric Developmental Screening Form
Age-appropriate developmental milestone screening form for pediatric patients, assessing communication, motor skills, social-emotional development, and cognitive milestones.