Follow the steps to fill out the SAMHSA Services Tool

1. Press the ‘Get Form’ button to access the SAMHSA Services Tool and open it in your preferred online editor for completion.
2. Begin with the record management section by entering the Consumer ID, Grant ID, Site ID, and indicating the type of assessment (Baseline, Reassessment, Clinical Discharge). Include the month and year when services began.
3. Answer the question regarding whether an interview was conducted. If yes, provide the date. If no, select the appropriate reason for the absence of an interview.
4. Indicate whether the respondent is the child or the caregiver to ensure the appropriate context for following questions.
5. Complete the behavioral health diagnoses section by selecting the appropriate ICD-10-CM codes for the diagnosed conditions. Specify which are primary, secondary, or tertiary.
6. Fill out the demographic data section if this is a baseline assessment, including gender, ethnicity, race, and birthdate.
7. In the functioning section, rate overall health and address statements regarding daily life functionality for the child or adolescent.
8. Assess social connectedness by responding to statements about interpersonal relationships and support systems.
9. If applicable, answer program-specific questions tailored to the particular requirements of the service program.
10. Make sure to review all entries for accuracy, save your changes, and choose to either download, print, or share the completed form as needed.

Start filling out the SAMHSA Services Tool online today to ensure accurate tracking and reporting.