Give your patients the freedom to complete adult ADHD self-report checklists with any device, anywhere. Streamline the way you collect important self—assessment information by setting up your form online.
Easily personalize this template with a HIPAA compliant form builder.
Many adults suffer from ADHD, which can affect relationships, jobs, and success in many areas of life. This standardized self-assessment form helps adults document the symptoms they are experiencing and helps guide the treatment team as the evaluation continues.
It is never too late to seek a diagnosis and treatment for ADHD and any other mental health condition that my occur with it. Effective treatment can make day-to-day life easier for many adults and their families.
The liability falls on you to handle patient data in a compliant way. Patient privacy is a serious topic, legislation from the Health Insurance Portability and Accountability Act to the Patient Protection and Affordable Care Act place heavy fines on medical professionals who mistreat patient information.
A medical release form does not empower your staff to share patient information with just anyone. Depending on what is included in the form, the document may release medical information to the patient’s family, other doctors, insurance providers, attorneys, or anyone who may make healthcare decisions on behalf of the patient.
Easily build HIPAA compliant online forms. No coding is required to create secure online intake forms for your patients. All patient form submissions are encrypted in transit and rest. A Business Associate Agreement is included with your service.
Allow patients to save their progress on larger forms and packets. Patients will be able to resume where they left off and finish completing your forms at a later time.
Always get the information you need with required fields. Patients can only submit when they complete all of your required fields. Never receive an incomplete medical form again.
Allow your patients to draw on an image or diagram in your form to mark areas of pain or parts of the body that may need treatment.
FormDr gives your practice everything needed to easily send and receive HIPAA compliant forms online. We help practices who: