Epstein Index›Documents›EFTA00811408
⚡IMPACT LEVEL 3 — NOTEWORTHY

Epstein File EFTA00811408: Cocaine, Treat and Envelope (DS9)

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Document containing application or questionnaire language asking whether an applicant treats others with civility, and including a return envelope instruction. The document also references medical and substance use disorder screening criteria, including specific mention of cocaine addiction or dependence.

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Does the applicant **treat** others with civility? 3.
Excerpt 2
Date: Print Name: Title: Signature: Enclosure: Return **Envelope** (Page 2 of 2) EFTA00811409
Excerpt 3
depressive disorder or bipolar disorder) or substance use disorder (including, but not limited to, abuse of or addiction to/dependence on alcohol, marijuana, **cocaine**

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