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Forms/Manuals Download Section
 
Web Links:
Click Here to Visit the New York State Website Click Here to Visit the OASAS Website Click Here to Visit the OMH Website
 
Formset Overview: The New York State Clinical Records Initiative (NYSCRI) lead to the creation of a standardized set of clinical record forms that can be used by outpatient, day, and residential programs (for both adults and children)  which are regulated by the New York State Office of Alcoholism and Substance Abuse Services and the New York State Office of Mental Health. These standardized forms will provide more uniformity for provider staff, improve documentation, facilitate movement between various levels of care as well as reduce the investment in maintaining records over time. This site contains downloadable program specific forms, manuals and support materials which can be used by participating providers.
 
Mental Health Clinic - Forms Download Area

Download Key:

Paper: Please utilize this link to access the Adobe PDF® version of the form for those members who will be printing the forms and entering information manually by hand.

E-Form: Please utilize this link to access the Microsoft Word® version of the form for those members who will be entering information into the forms electronically.

Manual
: Please utilize this link to access the support manual specific to this form.

Full Section One Training Manual
Revision Date: 11-25-10

Core Forms Paper E-Form Manual
 
Personal Information
Revision Date: 4-7-11
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Personal Information Update
Revision Date: 11-25-10
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Adult Comprehensive Assessment (CA)
Revision Date: 1-6-11
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Adult CA Update
Revision Date: 5-31-11
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Child/Adolescent CA
Revision Date: 1-6-11
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Child/Adolescent CA Update
Revision Date: 11-25-10
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Medical History and Assessment Questionnaire
Revision Date: 11-25-10
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Psychiatric Evaluation
Revision Date: 4-5-11
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Psychiatric Evaluation Update
Revision Date: 11-25-10
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Medication Log
Revision Date: 11-25-10
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Medication Log Addendum
Revision Date: 11-25-10
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Individualized Action Plan (IAP)
Revision Date: 1-6-11
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Individualized Action Plan - Additional Goal Sheet
Revision Date: 11-25-10
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IAP Review/Revision
Revision Date: 4-8-11
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Discharge Summary/Plan 
Revision Date: 11-25-10
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Pre-Admission Note
Revision Date: 11-25-10
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Screening/Admission Note
Revision Date: 4-5-11
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Individual Counseling  / Psychotherapy Note
Revision Date:
7-24-11
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Group Note
Revision Date: 11-25-10
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Psychopharmacology-Psychotherapy Note - with E&M
Revision Date:
7-24-11
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Assessment Addendums Paper E-Form Manual
 
Legal Involvement and History Addendum
Revision Date: 11-25-10
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  Legal Status  Addendum
Revision Date: 11-25-10
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  Employment Assessment Addendum
Revision Date: 11-25-10
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  Mental Status Exam Addendum
Revision Date: 11-25-10
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  Military Addendum Full Length
Revision Date: 11-25-10
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  Military Addendum Significant Others
Revision Date: 11-25-10
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  Risk Assessment Addendum
Revision Date: 11-25-10
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Substance Use Addendum
Revision Date: 11-25-10
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Optional Paper E-Form Manual
 
CFAAC Self-Assessment
Revision Date: 11-25-10
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Communicable Disease Assessment
Revision Date: 11-25-10
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Psychiatric Rehabilitation Readiness Determination
Revision Date: 11-25-10
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Psychopharmacology Plan
Revision Date: 11-25-10
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Psychopharmacology Plan Review
Revision Date: 11-25-10
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Coordination of Care Note
Revision Date: 11-25-10
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Nursing Note Long
Revision Date: 11-25-10
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Nursing Note Short
Revision Date: 11-25-10
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Psychopharmacology-Psychotherapy Note
Revision Date:
7-24-11
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