Clinical Template

Psychiatric Clerking Template

Structured Assessment, Screening & Auto-Referral Generation

πŸ“ 1. Identification & Presenting Complaint

🧾 2. Screening Tools Scores

Input scores from triage, or click buttons to complete questionnaires now.

🧠 3. DSM-5 Checklists

MDD Checklist

0 / 9

Tick if present β‰₯2 weeks

Result: Pending

GAD Checklist

0 / 6

Needs excessive worry + 3 symptoms for β‰₯6 months

Result: Pending

Bipolar / Mania Checklist

0 / 7

Core mood + β‰₯3 symptoms (or β‰₯4 if mood is only irritable) lasting β‰₯1 week or requiring hospitalization



Result: Pending

🧩 4. Anxiety Subtype Differentiation

⚑ Panic Pattern

πŸ‘₯ Social Anxiety

🎯 Specific Phobia

πŸšͺ Agoraphobia

πŸ” OCD Features

πŸ’₯ Trauma-Related

πŸ‘οΈ 5. Psychosis Screening

Hallucinations

Delusions

βš–οΈ 6. Risk Assessment

πŸ“š 7. Psychiatric & Basic History

🧾 8. Mental State Examination (MSE)

Click the relevant pills to quickly generate the MSE. Use the text box for specifics.

Appearance & Behavior

Speech

Mood & Affect

Thought & Perception

Cognition & Insight

πŸ’‘ 9. Provisional Diagnosis & Plan

* Diagnosis is provisional and must consider medical, substance-related, and psychiatric differentials.

Management Plan

3. Non-Pharmacological Plan:

7. Referral:

Review in . Monitor symptoms, risk, function, medication adherence, side effects and psychosocial stressors. Earlier review if symptoms worsen.

βœ‰οΈ 10. Automated Referral Letter

Generate a formal referral letter instantly based on your clerking note above.