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DAST-10 Drug Abuse Screening

Asks about date of screening, used drugs other than for medical reasons, and abused prescription drugs. Built for primary care routine drug use screening alongside alcohol assessments.

Questions
12
Pages
2
Time
about 3 min
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Your practice

DAST-10 Drug Abuse Screening

Page 1 of 2 · Your information

Live preview. Tap through it like a patient.

Who it is for

  • Primary care routine drug use screening alongside alcohol assessments
  • Behavioral health intake and substance use disorder evaluation
  • Pain management clinics monitoring prescription opioid misuse risk
  • Emergency department SBIRT programs and crisis intervention screening

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What's inside

Before you publish: Clinical review required: this worksheet does not calculate scores, diagnose, or recommend treatment. Confirm the questions and response options against your approved assessment protocol before use.

Page 1 · Your information

  1. Patient NameText · Required
  2. Date of ScreeningDate
  3. Used drugs other than for medical reasons?Long Text
  4. Abused prescription drugs?Long Text
  5. Able to stop using drugs when you want?Long Text

Page 2 · Additional details

  1. Feel guilty about drug use?Long Text
  2. Spouse or parents complain about drug use?Long Text
  3. Neglected family because of drug use?Long Text
  4. Engaged in illegal activities for drugs?Long Text
  5. Withdrawal symptoms when stopping?Long Text

From form to a ready patient

  1. The Formisoft form builder with editable questions and required toggles

    01

    Make it yours

    Reword, reorder, or add to the DAST-10 Drug Abuse Screening, and add your logo.

  2. A patient filling out a Formisoft form on a phone

    02

    Patients finish it at home

    A secure link by text or email, filled out on their phone before the visit. No app.

  3. The Formisoft dashboard showing how many of today's patients are ready

    03

    Your team sees who is ready

    Each visit shows as ready once its forms are in. Answers land on the patient record.

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Questions

Formisoft provides secure form collection and a Business Associate Agreement (BAA). Your practice must review the form content, access permissions, and sharing workflow for its requirements.

Yes. You can add, remove, reorder, or reword any of the 12 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.

Patients open a secure link from an email, a text, or a QR code and complete the form on their phone, tablet, or computer before their appointment. No app download required.

Yes, on Front Desk. Attach the form to a visit type and every patient who books gets it right away, with a reminder before the visit if it is not done. Your calendar shows which visits are ready.

Yes. The DAST-10 Drug Abuse Screening works on any device. Most patients complete intake forms on their phone, so every template is built for small screens first.

Send it before the visit, so patients arrive ready.

Add the DAST-10 Drug Abuse Screening to your account and make it yours in a few minutes.

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