Get Clinical Assessment - The Holman Group

Filling out the Clinical Assessment form from The Holman Group is a critical step in the therapeutic process. This guide provides clear and detailed instructions to help users complete the assessment accurately and effectively.

Follow the steps to complete the Clinical Assessment form.

1. Click the ‘Get Form’ button to access the Clinical Assessment form and open it in your chosen online platform.
2. Begin with the identifying information. Fill in the client name and relevant dates, including the date of the first appointment and the date seen if different.
3. If the date seen was more than five days from the date assigned to the provider, provide an explanation in the designated space.
4. Complete the client's date of birth and the provider name, followed by the insured's social security number and provider phone. Also, indicate the provider's license number.
5. Fill out the insured's employer information and specify if the patient is on disability by selecting yes or no.
6. In the presenting problem section, include details about current stressors and relevant history affecting the client.
7. Outline the client's subjective goals in the designated area. Detail the desired outcomes of the treatment.
8. Review and indicate any current risk factors, including suicidal or homicidal ideation, as well as any history of abuse or substance use.
9. Document previous medical and psychiatric treatment by checking all that apply and providing pertinent details.
10. List current medications, including names, dosages, start dates, and prescribers.
11. Provide relevant family and social history, noting any factors that might affect treatment.
12. Complete the mental status exam by checking the appropriate responses for affect, mood, appearance, motor activity, and other categories.
13. Rate applicable symptoms on the symptom checklist according to severity and duration.
14. Document any DSM diagnoses, medical conditions, patient's challenges, and strengths as necessary.
15. Summarize the assessment and conclusions drawn from the evaluation process.
16. Create a treatment plan, including goals and interventions discussed with the client.
17. Finalize by discussing any further sessions needed or referrals, and collect the necessary signatures before saving.

Complete the Clinical Assessment - The Holman Group online to ensure a comprehensive evaluation and treatment plan.