Read all the instructions in red to complete Section I: Reason for Service.  Click "Finish" to register your data and continue.
DIAGNOSTIC ASSESSMENT
Section I: Reason for Service
             Diagnostic Record ID:    0518200650029
                               Clinician 1:    clovelac                    Provider:   000143 Date:   06/07/2006              Time:   9:26
                                Physician:                                         Provider: Date:                                    Time:
 
Why are you here today? In consumer's own words, describe presenting problems, symptoms, precipitating events, source of distress, onset and duration.
Enter the reason clt is here today.  For practice click in the box and type "Depression - worse over the past few months.  Numerous situational stressors.  Death of father, clt cared for father through hospice before he died.   Family made clt promise to care for mother."
1020 character max.
Current psychotropic medications (including recommended dosages):
Enter any current psychotropic meds.  For practice click in the box and type "Zyprexa 5 mg one tab at bedtime."
1020 character max.
History of previous psychiatric treatments including hospitalizations and psychotropic medications:
Enter history of previous psychiatric treatments.  For practice click in the box and type "Clt has never been hospitalized but was on Zoloft about a year ago."
1020 character max. Additional textbox
      
Has previous treatment benefited you?:                                                          NO                      YES
                       Enter whether the previous treatment had benefited clt.  For practice select "YES" by clicking in the box to the left of it.
Response to previous treatments:
Enter any response to previous treatments.  For practice click in the box and type "The Zoloft worked well but clt thought she could handle life without it and stopped taking meds."
1020 character max.
Family history of mental health issues:                                                            NO                      YES
             Enter whether there is any family history of mental health issues.  For practice select "YES" by clicking in the box to the left of it.
Description of family history of mental health issues?:
Enter a description of any family history of mental health issues.  For practice click in the box and type "Grandmother was diagnosed with Bipolar Disorder and a cousin is manic-depressive."
1020 character max.
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