Form SFN 9997 North Dakota

Report of Addiction Treatment

This document is a form for reporting addiction treatment to the North Dakota Department of Transportation. It requires patients or drivers to submit this form within 5 working days following enrollment in an addiction program, as well as upon completion or termination. The form includes personal information such as name, address, and driver's license number. Patients are informed that they have the right to keep their health information private under federal regulations but may be required to authorize disclosure for eligibility determinations or enrollment in human services health plans. The document lists various types of treatment programs and their durations, such as outpatient services, day treatment, inpatient care, and residential treatment. Patients also need to sign a release of information form to allow the treatment program and counselor to share evaluation results with the Department of Transportation.

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Driving License Application Forms

In most countries, it's mandatory to have a driving license before you can hit the road. Getting a driving license is an important milestone for anyone who wants to drive a car.

Form SFN 9997 is one of Driving License Application forms that are documents used to gather information from people who want to apply for a driving license. It usually contains fields for the applicant's name, date of birth, ID number, contact information, as well as their driver's license history and experience.

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