Get the free Child Psychiatric Consultation Line Call Documentation Form - dhs state mn

This form is designed for documenting calls to a Child Psychiatric Consultation Line, capturing details such as caller information, patient specifics, reason for call, medications, and recommendations

How to fill out child psychiatric consultation line

How to fill out Child Psychiatric Consultation Line Call Documentation Form

1. Begin by filling out the patient's personal information, including name and date of birth.
2. Indicate the date and time of the call.
3. Provide the name and contact information of the referring party or professional.
4. Describe the child's presenting concerns and symptoms.
5. Include a brief history of the child's mental health, including any prior diagnoses or treatments.
6. Note any relevant family history related to psychiatric issues.
7. Document any risk factors or safety concerns identified during the consultation.
8. State the goals of the consultation and any recommendations for further action.
9. Sign and date the form to verify the accuracy of the information provided.

Who needs Child Psychiatric Consultation Line Call Documentation Form?

1. Mental health professionals looking for guidance on a child or adolescent patient.
2. Pediatricians and primary care providers needing assistance with psychiatric concerns.
3. Parents or guardians seeking support for their child's mental health issues.

For pdfFiller’s FAQs

What is Child Psychiatric Consultation Line Call Documentation Form?

The Child Psychiatric Consultation Line Call Documentation Form is a structured document used to record details of consultations regarding child psychiatric issues, facilitating communication between healthcare providers.

Who is required to file Child Psychiatric Consultation Line Call Documentation Form?

Healthcare professionals, including psychiatrists, pediatricians, and other mental health providers who utilize the consultation line, are required to file the Child Psychiatric Consultation Line Call Documentation Form.

How to fill out Child Psychiatric Consultation Line Call Documentation Form?

To fill out the form, healthcare providers should provide patient details, the nature of the consultation, relevant medical history, any treatment recommendations, and their contact information, ensuring all sections are completed accurately.

What is the purpose of Child Psychiatric Consultation Line Call Documentation Form?

The purpose of the form is to document the psychiatric consultation process, ensuring that all relevant information is captured for ongoing treatment, facilitating follow-up, and enhancing interdisciplinary communication.

What information must be reported on Child Psychiatric Consultation Line Call Documentation Form?

The form must report the client's demographic information, details of the presenting problem, clinical observations, diagnosis, advice given, and any referral actions taken, along with the date and time of the consultation.