Mental Health Templates

This document is a questionnaire template called Beck's Depression Inventory. It is used to assess the severity of depression in individuals.

This Form is used for obtaining prior authorization for behavioral health services from Molina Healthcare in Ohio.

This form is used for assessing the educational needs of individuals receiving outpatient behavioral health services. It helps determine what level of educational support or resources may be beneficial for the individual's mental health treatment.

This Form is used for applying for temporary involuntary hospitalization in Massachusetts.

This form is used for collecting information about a client's health and personal details during therapy intake. It helps therapists to understand their clients' needs and tailor the treatment accordingly.

This document is a suicide risk screener template used to assess the likelihood of an individual being at risk for suicide.

This Form is used for collecting necessary information from clients seeking counseling services at Rose Counseling.

This Form is used for intake purposes at Journey Counseling in Waco.

This form is used for collecting the patient's personal and family history information, which helps Family Psychology Associates evaluate and understand the patient's psychological well-being.

This form is used for client psychotherapy intake. The form is provided by Rachel Goldstein, Psy. D., a licensed psychotherapist. It is used to collect essential information about the client's background, mental health history, and goals for therapy.

This form is used for gathering information about a patient's mental health history and symptoms during their initial visit to Innovative Psychiatry.

This form is used for gathering important information about a patient's mental health history and current symptoms during their initial psychiatric intake appointment. It helps the Pllc (Professional Limited Liability Company) gather relevant information to assess and diagnose the patient's condition.

This form is used for collecting important information about a person's mental health when they visit Trauma & Psychotherapy Associates.

This Form is used for evaluating psychiatric unit criteria.

This form is used for verifying mental health treatment services in California. It is specifically intended for MHV (Mental Health Verification) purposes.

This form is used for the Mental Health Component Program Worksheet in California. It is designed to gather information related to mental health services and programs provided in the state.

This form is used for individuals with high risk behavioral challenges in Arizona who are being discharged or transitioning to a different facility.

This template is used for tracking and planning your mood throughout the year using a creative "Year in Pixels" format.

This form is used for couples seeking counseling to fill out and answer initial intake questions. It helps the counselor gather relevant information about the couple's relationship.

This form is used for gathering information about a patient's health history and symptoms in order to provide naturopathic treatment at Happy Family Wellness Clinic.

This template helps individuals track their anxiety levels over time.

This document is a template used by the Centre for Clinical Interventions to help individuals identify and explore their internal sensations and feelings.

This document provides a template for creating a safety plan to help individuals who have attempted suicide or are at risk of doing so.

This Form is used for gathering important information about a patient before beginning therapy sessions with Jolene Kelley.

This Form is used for monitoring metabolic health in individuals receiving treatment through Beacon Health Options. It helps track important metabolic indicators such as weight, blood pressure, and cholesterol levels.

This form is used for the counseling intake process at Providence Church. It helps gather necessary information from individuals seeking counseling services.

This document is used for collecting information and details from individuals seeking counseling services. It helps the counselor gather important background information about the client's personal, medical, and mental health history.

This document is a thought record template for Cognitive Behavioral Therapy (CBT). It helps individuals identify and challenge negative thoughts and beliefs.

This form is used for authorizing psychiatric service treatment for military personnel.

Use this form to record the results of a service member's behavioral health assessment. This document is employed in the Army as a mental status evaluation form, as it incorporates key elements needed for proper diagnosis of the service member's mental health.

This form is used for filing a claim for reimbursement for Mental Health Medi-Cal Administrative Activities (MH MAA) on a quarterly basis in California.

This form is used for background checks for individuals applying for public trust positions. It includes questions about personal history, employment, and references.

This Form is used for commanders to report suspected suicide events to the US Army Recruiting Command.

This Form is used for documenting the training of non-licensed mental health clinical staff in Florida on assessing suicide risk.

This form is used for creating an individualized treatment plan for mental health and substance abuse in the state of Florida.