Treatment call checklist
A printable from Adult drug and alcohol treatment. Fill it in by hand. Nothing you write is collected by this website.
Treatment call checklist
Before you call, have:
- Name, age, city, county
- What they use, how much, how often
- Past withdrawal symptoms
- Health problems, medicines, pregnancy
- Medi-Cal, Medicare or insurance card, or none
- Preferred language
County line: ____________
Ask:
- What level of care do you suggest?
- When is the first appointment?
- Is there a cost?
- Can they start outpatient or medication while waiting?
- Who do we call if things get worse?
Notes: Spoke with ________ on ________. Appointment: ________
Emergency or overdose: 911. Crisis: call or text 988.
From Adult drug and alcohol treatment. Facts checked October 21, 2026. Free information, not legal or medical advice.