Admission Data Section

Enter the admission information.

1. In the Source of Referral field, select the referral source.

2. In the Days Waited to Enter Treatment field, enter the total number of days (not including any time incarcerated), the client was on a waiting list before being admitted into a treatment program.

3. In the Number of Prior Episodes field, enter the total number of episodes the client has participated in treatment as a primary client, not as a codependent.

4. In the CalWORKs Recipient field, select Yes if the client is a CalWORKs recipient.

5. In the Substance Abuse Treatment Under CalWORKs field, select Yes if the client received substance abuse treatment under CalWORKs.

6. In the Special Services Contract County Code field, select the special services contract county.

7. In the Special Services Contract ID field, enter the contract ID.