Loading
Get Clinical Assessment Form
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Clinical Assessment Form online
Filling out the Clinical Assessment Form online is a straightforward process designed to gather vital information for effective evaluation and support. This guide will walk you through each step, ensuring that you complete the form accurately and efficiently.
Follow the steps to fill out the Clinical Assessment Form seamlessly.
- Press the ‘Get Form’ button to obtain the Clinical Assessment Form and open it in your online editor.
- Begin by entering the case number at the top of the form, followed by the company name. This information helps in identifying the specific case within the system.
- In the designated section, list the names and ages of clients attending the EAP session. Include their relationship to the employee to provide context for the assessment.
- Indicate whether the identified client was offered their first appointment within the 3-5 day timeframe from the date of referral. If not, check the appropriate reason from the options provided.
- Complete the risk assessment section by checking any relevant boxes related to the client's situation, such as domestic violence or suicidal thoughts. Provide detailed information on an attached sheet if any box is checked.
- Fill in the current substance abuse section with details about the client's drug of choice, both primary and secondary. Additionally, indicate if they are motivated to seek help or have withdrawal symptoms.
- Address any workplace issues experienced by the client by checking the applicable boxes. If 'other' is selected, provide a brief description.
- Add the clinical information in the specified fields including presenting problems and treatment history. Ensure clarity and legibility, as illegible notes may lead to payment delays.
- In the case status section, check the option that accurately reflects the current status of the case. Provide additional documentation as required based on the chosen status.
- Conclude by signing the form, printing your name, and adding the date to validate your completion of the Clinical Assessment Form.
- Once all fields are completed, be sure to save your changes. You can then download, print, or share the form as needed.
Start filling out the Clinical Assessment Form online today for a smooth assessment process.
Let's look closer at three common types of clinical assessments: clinical interviews, neurological and biological testing and intelligence testing.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.