Get Mclean Hospital Ocdi Application

Filling out the McLean Hospital OCDI Application is an essential step in seeking help for obsessive-compulsive disorder. This guide will provide you with clear and supportive instructions to complete the application online accurately and confidently.

Follow the steps to complete your application easily and effectively.

1. Press the ‘Get Form’ button to obtain the application form and open it for filling out.
2. Begin with the patient information section. Fill in your full name, social security number, address, date of birth, city, state, zip code, sex, height, weight, and age. Provide both home and mobile telephone numbers, email address, and your marital status. Include your occupation and education level.
3. In the emergency contact section, provide the name and phone number of a person who can be contacted in case of emergency.
4. For insurance information, list the insurance company name, the insured person's name, ID number, and policy information. Remember to include photocopies of the front and back of all insurance cards.
5. In the past medical history section, indicate any allergies or medical conditions you have. List surgeries if applicable.
6. Detail your past psychiatric history, including any hospitalizations and outpatient psychiatric treatments you've received. Include names of providers, types of treatment, and treatment dates.
7. List any current medications you are taking, including dosages and duration of use.
8. Answer the substance use questions honestly, including past and current illegal drug use and alcohol consumption.
9. Fill out the family history section regarding any psychiatric illnesses, suicides, or OCD diagnoses in your family.
10. Describe your referral source and the onset of your OCD symptoms, detailing their impact on your daily activities.
11. If applicable, provide information on trauma history and any self-injurious behavior.
12. Complete the job history section, noting your current employment status and how OCD may have impacted your work or education.
13. In the legal history section, indicate any past involvement with the legal system.
14. Complete the obsessive-compulsive checklist and depression/risk questionnaire as accurately as possible.
15. Review all sections carefully. Once completed, save the changes, and ensure you have a copy for your records. You can download, print, or share the application as needed.

Take the next step towards managing your OCD by completing the McLean Hospital OCDI Application online today.