Mental Health Intake Form Template for Hospitals

When behavioral health patients present themselves in your hospital, you want to make sure they enter your facility with access to the right level of care for their needs.

The mental health intake form is the first significant milestone in the exchange between patient and provider, so if you don’t have one you like today, you can learn about our format and see if it works for your hospital.

Use our mental health intake form at your hospital for free by grabbing it here.

What makes for an effective mental health intake form?

Accurate and standardized patient Information

One of the most important aspects of providing quality care is having accurate and standardized patient information. This includes information such as name, date of birth, contact information, insurance information, and other relevant data. Having this information in a standardized format makes it easier to provide next steps, answer questions and ensure that everyone involved in their care has the most up-to-date information.

It is also important to ensure that the patient’s privacy is protected. This can be done by ensuring that only authorized personnel have access to the patient’s information and by using secure methods of communication and data storage.

For hospital staff, the first step is having a complete mental health intake form. You can download Horizon Health’s mental health intake form for free.

Effective Pre-Admission screening

Pre-admission screening is an important part of the mental health intake process. By performing a pre-admission screening, you can ensure that patients are referred to the correct level of care and that they receive the appropriate treatment.

The pre-admission screening process begins with a review of the patient’s medical history. This includes a review of any mental health conditions that have been previously diagnosed and any medications that have been prescribed. It is also important to obtain a full family history, as mental health conditions can often be hereditary.

Once the medical history is reviewed, a mental health assessment is performed. This assessment will help to identify any mental health conditions that may be present and will help to determine the appropriate level of care for the patient.

Finally, the patient’s insurance information is reviewed. This information is used to determine if the patient has coverage for mental health services and to determine how much of the cost of treatment will be covered by insurance.

Where do behavioral health professionals typically record all of this information?

Spoiler: In a mental health intake form, like this one.

Behavioral health patient disposition and status

Once the mental health intake form is completed, hospital staff must determine the patient’s disposition and status. This can be done in a number of ways, but the most common method is to use a mental health disposition and status form.

The mental health disposition and status form is used to track the patient’s care and to ensure that they are receiving the appropriate level of care. It also helps to ensure that the patient’s length of stay is appropriate and that they are not kept in the hospital longer than necessary.

The form includes information such as the patient’s name, date of admission, diagnosis, and treatment plan. It also includes information about the patient’s insurance coverage and how much of the cost of treatment will be covered by insurance.

The mental health disposition and status form can be used to track a number of different outcomes, including:

• Whether or not the patient has been discharged from the hospital
• The patient’s current mental health condition
• The progress that the patient has made since being admitted to the hospital
• Whether or not the patient has been transferred to another facility

If you still don’t have a consistent mental health intake form to use at your hospital – and you’ve read this far down, you can get your copy below.

Free Mental Health Intake Form PDF

To recap, mental health intake forms are an important part of the mental healthcare process. They help to ensure that patients receive the correct level of care and that their privacy is protected. The form also helps hospital staff track the patient’s progress and outcomes. If you don’t have a mental health intake form, you can download one here.