CHEMICAL DEPENDENCY
Opiate (rx) – Cocaine – ... Now I’m going to ask you about symptoms you are currently having related to withdrawal…. ☐ Fever ☐ Anxiety / Panic ☐ Restlessness ☐ Sweating ☐ Stomach cramps ☐ Clammy skin ☐ Tremors ☐ Goosebumps ☐ Runny Nose ☐ Tingling Sensations ☐ Pins & Needles☐ Hot flashes ................
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