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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.
 
OMH Child Residential - 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
Click Here to Download this Adobe PDF Version Click Here to Download this Microsoft Word E-Form Click Here to Download this Adobe PDF Version
 
Personal Information Update
Revision Date: 11-25-10
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Residential Intake Assessment - Child
Revision Date: 11-25-10
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Residential Functional Assessment - Child
Revision Date: 5-9-11
Click Here to Download this Adobe PDF Version Click Here to Download this Microsoft Word E-Form Click Here to Download this Adobe PDF Version
 
Individualized Action Plan (IAP)
Revision Date: 1-6-11
Click Here to Download this Adobe PDF Version Click Here to Download this Microsoft Word E-Form Click Here to Download this Adobe PDF Version
 
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
Click Here to Download this Adobe PDF Version Click Here to Download this Microsoft Word E-Form Click Here to Download this Adobe PDF Version
 
Admission Note - Residential Only
Revision Date: 1-4-11
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Contact Note
Revision Date: 11-25-10
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Coordination of Care Note
Revision Date: 11-25-10
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Assessment Addendums Paper E-Form Manual
 
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
Click Here to Download this Adobe PDF Version Click Here to Download this Microsoft Word E-Form NA
 
Communicable Disease Assessment
Revision Date: 11-25-10
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Group 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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