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Exhibit 10: Problem List Form
| Date: |
Patient: |
| Problem 1: Drugs/Alcohol |
| Problem 2: Employment/Support |
| Problem 3: Family |
| Problem 4: Recreation/Social |
| Problem 5: Psychological |
| Problem 6: Legal |
| Problem 7: Medical |
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Therapy Manuals for Drug Abuse: Manual 2
Contents
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