Record five facts first: last alcohol use, current symptoms, past severe withdrawal, other substance use, and major health needs. Compare answers through an alcohol use history before detox california worksheet. Use verified alcohol treatment information to frame questions, then share the full record with a qualified professional for assessment.
Use one page for your notes. Put the date at the top. Add the current time. Update it when symptoms change. Use facts rather than guesses. If unsure, write that down. Ask a trusted person for help. They may recall past events. Do not delay urgent help for paperwork. The sheet is a planning aid. It is not a diagnosis. It cannot measure withdrawal risk. A health professional must review your case. Keep the page easy to reach. Bring it to any assessment. Save a copy if you can do so safely. Do not assume a form secures admission.
The five facts work as a short handoff. First, note your last drink. Second, list present symptoms. Third, record severe past withdrawal. Fourth, list all other substances. Fifth, name major health needs. Add timing to each item. Clear timing helps show change. Include a support person's contact details. Ask before sharing their information. Note your preferred crisis contact. Keep 911 for immediate danger. Use 988 by call, text, or chat. Living Longer Recovery is not emergency care. Follow direct advice from health professionals.
- Last drink, recent pattern, and sharp changes
- Current symptoms and when each began
- Past seizures, severe confusion, or urgent care
- Other drugs, pills, supplements, and medicines
- Health needs, crisis concerns, and support contacts