Psychiatry Intake Form

What is a Psychiatry Intake Form?

A Psychiatry Intake Form is a crucial tool mental health professionals use to gather comprehensive information about new patients at the start of their treatment.

This document is a foundation for creating an effective treatment plan tailored to the individual's needs. It typically includes sections for personal and contact information, medical and psychiatric history, current symptoms, and the goals for therapy. Importantly, this form also allows the clinician to note any immediate concerns requiring prioritization during initial appointments.

Using these forms, healthcare professionals can quickly identify potential risk factors and develop strategies to help patients manage their mental health effectively.

Components of a Psychiatry Intake Form

A standard Psychiatry Intake Form consists of several sections aimed at collecting relevant patient information. These components may vary slightly depending on the healthcare provider, but some common elements include:

1. Patient information: This section includes basic personal details such as name, date of birth, address, and contact information.
2. Medical history: Here, patients provide information on any previous medical conditions, allergies, current medications, or family history of mental health concerns.
3. Psychiatric history: This section focuses on the patient's mental health background, including previous diagnoses and treatments.
4. Stressors: Patients are asked to list any current or past stressors or traumas that may have contributed to their mental health concerns.
5. Treat history: This section covers the patient's previous experience with mental health treatments, including medications and therapy.
6. Treatment goals: Patients are encouraged to share their therapy goals, which can guide the clinician in developing a personalized treatment plan.

How to use our Psychiatry Intake Form

Carepatron has created a free and customizable Psychiatry Intake Form that you can use in your practice. Follow these steps to get started:

Step 1: Download the template

Get a copy of our free form using this page's link or the Carepatron app. You can also access it from our resources library.

Step 2: Print our use the digital format

Choose the best option for your practice. You can either print out the form and have your patients fill it out by hand or use our digital format to collect information electronically.

Step 3: Customize as needed

Our template is fully customizable, so feel free to add or remove sections that are not relevant to your practice. You can also brand it with your logo and practice information for a professional touch.

Step 4: Use during intake appointments

Hand out the intake form to patients during their first appointment or have them complete it before the session. Make sure to leave enough time for them to fill it out thoroughly and ask any questions.

Step 5: Review and discuss with patient

Review the form once the patient has completed it with them during their appointment. Use the information provided to guide your discussions and gain a better understanding of the patient's mental health concerns.

Step 6: Save and store for future reference

Make sure to save a copy of the completed form in the patient's medical record for future reference. This can also serve as a baseline for tracking progress over time.

Psychiatry Intake Form example (sample)

We have written a sample completed intake form for a psychiatric patient to help guide you in using our template effectively. This sample includes all the sections available in our template, but remember that you can tailor it to your specific needs. You can view the sample here or download a PDF copy for reference.

Download this free Psychiatric Intake Form example here

When would you use this form?

You can use our printable intake form in the following situations:

When a patient is seeking psychiatric care for the first time

You can give the form to patients during their first appointment or ask them to complete it before their session. This will help you gather important information about their mental health history and current concerns.

During follow-up appointments

You can also use the form during follow-up appointments to track changes in the patient's mental health and discuss any new concerns that may have arisen.

When a patient switches to a new psychiatrist or seeks a second opinion

If a patient has been under the care of another psychiatrist, you can use this form to gather information about their previous treatment and current concerns. This can help you provide the best care and make informed treatment decisions.

For research purposes

Our intake form is designed to collect comprehensive information about a patient's mental health history, current concerns, and demographic data. You can use this data for research purposes with your patients' consent.

Why use Carepatron as your psychiatry software?

Our psychiatry software makes it easy for you to streamline your practice and provide the best care possible. With Carepatron, you can:

• Manage patient information and appointments
• Create treatment plans and notes
• Share files securely with patients
• Conduct virtual sessions through our telehealth feature
• Access evidence-based assessments and tools for diagnosis and treatment planning
• Collaborate with other healthcare professionals in a secure environment

Our software also ensures compliance with industry standards, such as HIPAA, to protect patient confidentiality. Plus, we have a dedicated customer support team to assist you with any questions or technical issues.

Sign up for Carepatron today and see how it can transform your psychiatry practice.