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DAST-10 Drug Abuse Screening Test

Asks about date of screening, used drugs other than for medical reasons, and abused prescription drugs. Built for primary care routine drug use screening within SBIRT protocols.

Questions
14
Pages
2
Time
about 4 min
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Your practice

DAST-10 Drug Abuse Screening Test

Page 1 of 2 · Your information

Live preview. Tap through it like a patient.

Who it is for

  • 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

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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. Spouse or family complains about drug use?Long Text
  2. Neglected family or responsibilities?Long Text
  3. Engaged in illegal activities for drugs?Long Text
  4. Withdrawal symptoms from drugs?Long Text
  5. Medical problems from drug use?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 Test, 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 14 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 Test 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 Test to your account and make it yours in a few minutes.

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