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Behavioral Health History Forms

Behavioral Health

Family in Tropical setting

Patient Discharge Medical and Behavioral Health

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This policy is created to outline the process for the management and eventual discharge from service of difficult patients. This includes those who are perceived to be difficult with respect to recurrent hostile behavior, inappropriate use of FHC services, excessive non-compliance (including financial obligations), inappropriate use of controlled substances, or other patterns of behavior that represent excessive lack of respect or responsibility on the part of the patient.

Psychosocial Assessment

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Psychosocial Assessment form to be used by providers.

Child/Adolescent Personal History (ages 17 and under)

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Child/Adolescent personal history form designed for an individual to fill out prior to seeing a therapist.

Adult Personal History (ages 18 and over)

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Adult personal history form designed for an individual to fill out prior to seeing a therapist.

Adolescent Self-Report (ages 13-17)

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Adolescent self-report which states that it is to be used in order to "help counselors understand--in your own words--why you are here and what difficulities you might be having".
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