Get History And Mental Status Exam - Brown University - Brown

Filling out the History And Mental Status Exam form is an important step in documenting psychiatric assessments and evaluations. This guide provides clear and supportive instructions tailored to assist users in successfully completing the form online.

Follow the steps to effectively complete the form.

1. Press the ‘Get Form’ button to access the History And Mental Status Exam form and open it in your preferred online editor.
2. Begin by entering the identification information, which includes basic demographics such as age, racial or ethnic background, and any relevant medical or psychiatric history. Ensure that this information is accurate and relevant to the assessment.
3. Proceed to document the chief complaint exactly as it is expressed by the individual seeking assistance. This section is critical for understanding the primary reason for the assessment.
4. Detail the history of the present illness, providing a chronological description of how symptoms have unfolded. Focus on specifics regarding the nature, duration, and progression of symptoms.
5. In the past psychiatric history section, outline all previous episodes of mental health issues, treatments received, and their outcomes. This information is vital for establishing a baseline and predicting future treatment responses.
6. Document the medical history, noting any significant medical conditions or treatments that could impact psychiatric health. Pay attention to medications currently taken to avoid interactions.
7. Record the family history of psychiatric disorders. Awareness of familial links can inform diagnosis and treatment strategies.
8. Complete the personal history, which highlights key life events that may influence mental health. Consider including milestones in development, education, and any significant social or emotional experiences.
9. As you finalize the form, review each section to ensure all information is correct and complete. Once satisfied, save the changes. Options are typically available to download, print, or share the form as needed.

Complete your documents online to streamline your documentation process.