What Is the DDAP Client Admission Document?
The Drug and Alcohol Program Area (DDAP) Client Admission form is a standard intake document used by treatment providers in Pennsylvania and Connecticut. The Pennsylvania Department of Drug and Alcohol Programs requires this file to document clients entering addiction recovery services. It records personal information, referral sources, substance use history, and clinical placement criteria.
Step-by-Step Instructions to Complete the Form
Follow these steps to fill out the PDF file accurately.
- Enter client details: Write the client name, date of birth, and contact information in the first section. Do not skip required fields marked with an asterisk.
- Record substance use history: Indicate the primary substance and frequency of use. Include secondary substances if applicable to support the addiction assessment.
- Complete placement criteria: A counselor uses ASAM criteria to determine the appropriate level of care. Review each criterion and mark the applicable responses. Skip any item that does not apply to the client.
- Save and close the form: Once all sections are complete, close the document and save the file. Submit the completed PDF to the treatment facility according to their intake instructions.
- Update if needed: If client information changes during the intake process, update the form before final submission. Keep a copy for the case file.
Related Forms
Clients entering substance abuse programs may also need a drug testing consent form or a drug prior authorization form as part of the admission process. For additional forms used in substance abuse treatment workflows, visit our client intake form page.