This government document is issued by Department of Community Health for use in Georgia
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https://www.google.com/url?client=internal-element-cse&cx=450907bf5042c4844&q=https://dch.georgia.gov/document/document/drug-abuse-treatment-and-education-program-application-packet/download&sa=U&ved=2ahUKEwiNl9LT1JaHAxX5g_0HHSmTA-A4WhAWegQICRAB&usg=AOvVaw0rEJAUGEpH_CTPPcpSWth_&fexp=72519171,72519168