CLINICAL FORMS PACKAGE CONTENTS
Lanstat Incorporated • 800-672-3166
Intake & Assessment. Comprehensive multidimensional assessment with emphasis on assessment. 16 pages. Three page Youth Supplement is included.
Alcohol & Other Drug Information School Intake Form.
Patient Needs Overview. An organized way to keep track of all treatment problems.
Treatment Plan. A means-oriented planning tool.
Progress Notes. Form prompts staff toward complete clinical entries.
Group Note. A quick tool to enter group participation, measure participant progress and satisfaction with services.
Continued Service Review. Helps your team easily summarize attainment of patient goals.
Dimensional Staffing Form. Assists the counselor in presenting patient information at team staffings.
Discharge/Transfer Checklist. A cover sheet that ensures compliance.
Continuing Care Plan. A worksheet to complete and provide to your patient at discharge or after any counseling session.
Transition Worksheet. A counselor worksheet to organize patient strengths, needs, abilities and preferences early in treatment for use at transition/discharge
Placement Guide. Questions to ask when making a dimensional placement.
File Review. Ensures quality file review and uses CARF standards to track conformance with sound treatment planning.
Authentication Record. May be pre-printed with your staff information.
Consent for Release of Information.
Consent for Release of Confidential Information to the Department of Licensing.
Consent for Release of Confidential Information to the Criminal Justice System.
Employee/Service Provider Commitment to Confidentiality.
Employee Orientation Checklist.
Employee Performance Review.
Emergency Drill Report.
Bomb Threat Checklist.
Request for Driving Record Abstract.
Individual and Group Attendance Records.
Patient Notice on Confidentiality.
Incident Report and Incident Log.
Visitor Sign-in Log.
TB Screen.
HIV/AIDS Brief Risk Assessment.
Patient Status Review.
Mini-Mental Status Exam.