Psychiatric Admission Form Template

This Psychiatric Admission Form is essential for mental health evaluations. It includes a complete mental status examination (MSE), psychiatric history, presenting symptoms, substance use assessment, and treatment planning.

Key Features

  • Psychiatric & medical history

  • Mental Status Exam (appearance, mood, thought process, cognition, insight)

  • Presenting complaints and diagnostic considerations

  • Substance use documentation

  • Treatment plan (medications, counseling, ward assignment)

  • Patient/guardian consent

Who Should Use It

Psychiatric hospitals, mental health units, behavioral health clinics, and emergency departments.

psychiatric admission form template for mental health evaluation and MSE documentation
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