Completing the Addiction Severity Index online is straightforward with FormsPal's free PDF editor. Follow the steps below to fill in each section of the form accurately, then save or print the completed document when you are finished.
Step 1: Click the "Get Form Here" button at the top of this page to open the ASI form in our online PDF editor.
Step 2: Use the editing tools to enter information in each field. You can type responses directly into the form, highlight areas, add notes, or check boxes as needed.
Provide the information requested by the platform to complete the file.
Write the requested details in the box.
Note any particulars you need inside the field.
Describe the rights and responsibilities of the parties in the space provided.
Complete the form by working through all seven sections.
Step 3: Click the Done button to save your completed document. You can then download it to your device or print it directly.
Step 4: Save at least two copies of the completed form. One copy should go to the treating facility and a second copy should be kept for personal records.
Key Sections of the ASI Form
The Addiction Severity Index form is divided into seven scored sections. Each section begins with objective questions about the patient's history, followed by the clinician's severity rating. Understanding each section helps clinicians complete the form accurately:
- Section 1 – Medical: Documents hospitalizations, chronic conditions, and health problems related to substance use
- Section 2 – Employment and Support: Covers work history, income, and financial dependence on others
- Section 3 – Alcohol: Records drinking patterns, blackouts, and alcohol-related consequences
- Section 4 – Drug: Catalogs use of specific substances by type, frequency, and route of administration
- Section 5 – Legal: Tracks arrests, convictions, and probation or parole status
- Section 6 – Family and Social: Examines relationships, living situation, and history of abuse or trauma
- Section 7 – Psychiatric: Covers psychological symptoms, hospitalizations, and current mental health medications
Frequently Asked Questions
Who administers the Addiction Severity Index?
The ASI is designed to be administered by a trained clinician, counselor, or case manager during a face-to-face or telehealth interview. It is not a self-report tool.
How long does the ASI take to complete?
A full ASI interview typically takes 45 to 60 minutes. Clinicians who need a shorter intake tool may consider the ASI-Lite, which covers the same domains in approximately 20 minutes.
Is this form the same as the ASI-6?
Yes. The form on this page is the sixth edition of the Addiction Severity Index, also known as ASI-6. The ASI-6 provides updated severity indices and improved reliability across all seven domains.
Can I fill out the ASI on behalf of a patient?
The clinician completes the scoring sections based on the patient's responses. You can use FormsPal's free PDF editor to fill in the form fields digitally, then print the completed document to obtain any required signatures.
