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PTSD Screening Form

We can help you or someone you love find the best Drug Rehab Center with PTSD Therapy today. Addiction No More is an Addiction Treatment Center locator service. For immediate service, please call one of our counselors 24/7.

Please Note: This is not an official Assessment or Evaluation form. This form is not admissible in court or for probation officers and is not accepted by caseworkers. Addiction No More is here to help you find treatment for addiction. We can not give any legal advice. If you are looking for a rehab center please fill out this form or call us now.

Disclaimer: This evaluation is not intended to constitute a diagnosis of any disorder. The information provided here cannot substitute for a full evaluation by a health professional which must be done in person. Call us 24 hours a day, 7 days a week for help locating a treatment center for addiction.

If you would like to speak with a counselor, please call our free hotline now. We are here to talk, 24 hours a day, 7 days a week. 

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PTSD Screening Form

Please fill out this form if you are in need of placement into an addiction treatment program, detox center, or need help locating inpatient drug or alcohol rehab programs in your area. By filling out this form, you are giving consent to having a counselor contact you, by phone or email, to assist with addiction issues. 100% Confidential. PLEASE NOTE: You can speak immediately with any of our counselors 24 hours a day, 7 days a week by calling 1-800-246-9027
Complete the following to get an assessment on the likelihood that you or someone you love is showing signs of post traumatic stress disorder. All answers supplied are kept strictly confidential. This assessment is not admissible in court.
You have experienced or witnessed a life-threatening event that caused intense fear, helplessness, or horror.
Repeated, disturbing memories, thoughts, or images of a stressful experience from the past?
Feeling very upset when something reminded you of a stressful experience from the past?
Since the event, do you have negative thoughts and mood associated with the event in at least 2 of the following ways?
Avoid activities or situations because they remind you of a stressful experience from the past?
Feeling distant or cut off from other people?
Feeling irritable or having angry outbursts?
Having difficulty concentrating?
Are you troubled by at least two of the following?
This field is for validation purposes and should be left unchanged.





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Addiction No More is a 24 hour free Drug Rehabilitation, Addiction Treatment Centers help line and referral service. Addiction No More is a free Service to the public to help with the process of getting someone into a Drug Rehab Center that will work. All Information provided is in no way meant to be substitute for treatment or medical advice. The information provided by Addictionnomore.com should not be used for self diagnosis of a condition and is not a substitute for professional care. Addiction No More. Addictionnomore and it's contributors shall have no liability or obligation to any person or entity that states to have had an adverse consequence or damage directly or indirectly as a consequence of the material and information provided by this website. *Florida Residents: All incoming calls generated by this website are answered by RNT consulting in accordance with Florida state law. RNT consulting is accredited in the state of Florida and has met the standards laid out by Florida state law to offer treatment solutions through their call center. Read full disclaimer here. DISCLAIMER Privacy Policy Copyright ©2003-2022 All Rights Reserved