DAST-10 Drug Abuse Screening Test
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DAST-10 Drug Abuse Screening Test
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The DAST-10 Drug Abuse Screening Test form implements the abbreviated 10-item version of the Drug Abuse Screening Test, a validated self-report instrument designed to identify individuals who may have drug use problems requiring further evaluation. Unlike alcohol-specific tools such as the CAGE or AUDIT, the DAST-10 focuses exclusively on drug use -- including prescription medication misuse, cannabis, stimulants, opioids, sedatives, and other substances (alcohol is explicitly excluded).
The ten questions assess various dimensions of drug involvement over the past 12 months: inability to stop using, blackouts or flashbacks, guilt about use, complaints from family or partners, neglecting responsibilities, engagement in illegal activities to obtain drugs, withdrawal symptoms, medical problems from use, and prior treatment seeking. Each yes response scores one point, with severity levels ranging from no problems (0), low level (1-2), moderate (3-5), substantial (6-8), to severe (9-10).
This template is suited for primary care practices conducting routine substance use screening, behavioral health and addiction treatment intakes, employee assistance programs, criminal justice diversion programs, and pain management clinics assessing opioid misuse risk. The DAST-10 is recommended by SAMHSA as part of SBIRT (Screening, Brief Intervention, and Referral to Treatment) protocols and complements alcohol-specific screening tools to provide a complete substance use assessment. The form includes 42 CFR Part 2 confidentiality language to protect patient substance use information.
What's included
- All 10 validated DAST-10 screening items
- Automatic score calculation and severity classification
- Five-tier severity interpretation (none to severe)
- 42 CFR Part 2 confidentiality acknowledgment
- SBIRT-aligned intervention recommendations
- Provider notes and referral documentation section
Who uses this template
- Primary care routine drug use screening within SBIRT protocols
- Behavioral health and addiction treatment intake assessment
- Pain management clinic opioid misuse risk evaluation
- Employee assistance and workplace wellness programs
All form fields
14 fields across 1 page. Customize any field after signing up.
How to use the DAST-10 Drug Abuse Screening Test
Getting started with this template takes just a few minutes. Sign up for a free Formisoft trial, then select the DAST-10 Drug Abuse Screening Test 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 DAST-10 Drug Abuse Screening Test 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 DAST-10 Drug Abuse Screening Test HIPAA compliant?
Yes. All Formisoft templates, including the DAST-10 Drug Abuse Screening Test, 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 DAST-10 Drug Abuse Screening Test 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 DAST-10 Drug Abuse Screening Test for your practice. Set up in minutes.
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