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The paperwork required when providing mental health services continues to mount. Keeping records for managed care reimbursement, accreditation agencies, protection in the event of lawsuits, and to help streamline patient care in solo and group practices, inpatient facilities, and hospitals has become increasingly important. This updated and revised Third Edition provides you with a full range of forms, checklists, and clinical records essential for effectively and efficiently managing your practice.
From intake to diagnosis and treatment through discharge and outcome assessment, The Clinical Documentation Sourcebook, Third Edition offers sample forms for every stage of the treatment process. Greatly expanded from the second edition, the book now includes twenty-six fully completed forms illustrating the proper way to fill them out, as well as fifty-two ready-to-copy blank forms. The included CD-ROM also provides these forms in Word format so you can easily customize them to suit your practice. With The Clinical Documentation Sourcebook, Third Edition, you'll spend less time on paperwork and more time with clients.
Chapter 1. Administrative and Intake Forms.
Chapter 2. Forms Designed for HIPAA Compliance.
Chapter 3. Assessment Forms.
Chapter 4. Psychological Evaluations.
Chapter 5. Treatment Planning Forms and Procedures.
Chapter 6. Progress Notes.
Chapter 7. Other Forms Used During the Course of Treatment.
Chapter 8. Chart Review and Outcomes Documentation.
Chapter 9. Termination and Aftercare.
Bibliography and Suggested Readings.