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In my state, MD, I didn't have to undergo a drug test either. They also never talked to any family members. We had to submit three references, but they could be references of our choosing. I did have to have a physical, but it was a very basic physical and I could have gone to a doctor who knew nothing about these problems.
As a result, I'd say that it would be very easy to pass a home study as an addict or mentally ill person. I was surprised by this as I underwent my homestudy process. They made sure that my water was clean, but not that I was!!! Rather odd.
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