Mental Health Templates

This document is a Personal Stress Resiliency Plan, which helps individuals develop strategies to manage stress and improve mental well-being. It provides a framework for identifying stressors and implementing coping mechanisms to build resilience.

This Form is used for providing input on the placement in a short-term residential therapeutic program in California.

This type of document is used for conducting a mental health appraisal in the state of Iowa. It helps in assessing an individual's mental well-being and identifying any potential mental health issues.

This type of document provides counseling services for individuals in Iowa who have been exposed to a potential risk of HIV or other sexually transmitted infections.

This document is used in Iowa to log information related to a Suicide/Self-injury Protocol (SSIP). It helps to keep track of incidents and follow-ups for individuals at risk of self-harm.

This document is used to report instances of involuntary medication in the state of Iowa.

This document provides consent for the videotaping of patients in a forensic psychiatric hospital in Iowa.

This Form is used for obtaining an emergency certificate for psychologists in Louisiana. It allows qualified psychologists to provide immediate mental health care during emergencies.

This document is for obtaining prior authorization for Spravato, a medication used for treatment-resistant depression, in the state of Maryland.

This Form is used for filing a Petition for Emergency Evaluation in the state of Maryland. It is a legal document that allows individuals to request an emergency evaluation for someone they believe may be a danger to themselves or others.

This Form is used for documenting incidents of seclusion and restraint in the state of Michigan.

This document is a statement from a qualified mental health professional that authorizes admission to a psychiatric hospital in the state of Kansas. The statement is necessary for admission and highlights the individual's need for psychiatric care.

This document is used for referring adults in Prince Edward Island, Canada, to community mental health and addictions services. It helps connect individuals with the support they need for mental health and addiction concerns.

This form is used for providing administrative information to a contract agency for mental health fee-for-service in New Jersey.

This document is used to create a psychiatric advance directive (PAD) or crisis plan, specifically in the state of New Jersey. It provides instructions for individuals to outline their preferences for mental health treatment in the event of a crisis.

This type of document is used in New Jersey to outline a person's preferences and instructions for mental health treatment in the event of a psychiatric crisis. It helps ensure that the individual's wishes are followed during a mental health emergency.

This document is used for reporting on mental health treatment received as an outpatient in New York. It is used to track and document the progress and treatment of individuals seeking mental health care.

This Form is used for making an interim request for CMH (Community Mental Health) services in Ohio.

This document is for the mental health screening in the state of Idaho. It is used to assess and evaluate an individual's mental health condition.

This document outlines the disposition process for suicide watch cases in the state of Idaho. It provides guidance on how to assess and manage individuals who are at risk of attempting suicide.

This document provides facts, figures, and prevention measures for suicide in Montana. It does not include any specific form or formulas.

This document provides instructions for completing Form F-11033 Prior Authorization/Mental Health and/or Substance Abuse Evaluation Attachment (Pa/Ea) in Wisconsin. It provides guidance on how to fill out the form and includes important information about the prior authorization process for mental health and substance abuse evaluations.

This Form is used for ordering a mental health evaluation in South Carolina.

This Form is used for obtaining a citation for LPS conservatorship in Los Angeles County, California.

This form is used for reporting and making recommendations about psychotropic medication during the annual review process in Wisconsin.

This Form is used for the district attorney or corporation counsel in Wisconsin to make an emergency detention statement.

This form is used for making advance directives regarding mental health care in the state of Virginia. It allows individuals to outline their preferences and instructions for treatment in the event that they become unable to make decisions for themselves due to mental illness.

This document is for mental health counselor associates in Washington to verify their supervision and experience.

This document is used for pre-admission screening and resident review for individuals with serious mental illness, intellectual disabilities, or related conditions in Washington, D.C.

This form is used for making an initial referral for screening in the Veterans Treatment Court program in San Mateo County, California. It is meant for veterans who may be eligible to participate in the specialized court program.

This document is a petition that can be used in Washington, D.C. to request the court to commit an individual for mental health treatment if they are deemed a danger to themselves or others.