Grief Evaluation Form Template

Easily send confidential patient grief evaluation forms online. Patients can complete forms prior to the appointment on their phone, tablet, or computer, at their own pace in a private manner. Patients securely complete needed assessments and submit them directly to your account. Track your patient’s progress, send automated appointment reminders, and receive completed evaluation forms online.
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Grief Evaluation for Children and Teenagers (17 and under) Template

Give your patients the freedom to complete grief evaluation forms from any device, anywhere. Streamline the way you collect patient information and record their responses by setting up your form online.

Easily personalize this Grief Evaluation Form Template with a HIPAA compliant form builder.

What is the Grief Evaluation Form?

A grief evaluation form is an assessment used to help providers understand the grief symptoms the patient is experiencing, including how grief is impacting the individual, family, and everyday activities. The form can guide conversations between the provider and patient, and help measure progress or changes in grief over time. 

The death of a family member, friend or other significant person is a lifelong loss for children. It is normal for children to miss the person who died and to experience grief that might come and go with different levels of intensity for some time after the death. It can be challenging to parents and caregivers to know what to do for, what to say to and how to help children who are obviously hurting.

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Grief Evaluation for Children & Teenagers (17 and Under)

Collect valuable information concerning your patient’s grief experience and daily life. Review this information prior to the appointment to guide the conversation.
Medical Consent Form Template

Medical Consent Form

Easily have patients complete your medical consent form with their phone, tablet, or computer. Make it easy for patients to complete your consent forms online.
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AIMS (Abnormal Involuntary Movement Scale)

Setup an AIMS Form for free. Allow your clinicians to complete an Abnormal Involuntary Movement Scale Form safely and securely, online.
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Patient Health Questionnaire (PHQ-9)

Give your patients the freedom to complete the PHQ-9 from any device, anywhere. Ensure privacy and help keep teens safe by ensuring completion of this screening form before their clinic visit.

Notice of Privacy Practices

Easily comply with the HIPAA Privacy Rule by providing your patients with an electronic privacy notice to read and complete before the initial visit. The notice can be read when convenient, signed and then returned for an informed, efficient clinic visit.
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HIPAA Consent Form

Give your patients the freedom to complete HIPAA consent forms with any device, anywhere. Streamline the way you collect signatures and consent forms by setting up your form online.
Medical Release Form Template

Medical Release Form

Turn your paper medical history forms into HIPAA compliant online forms. Streamline your forms by removing the paperwork. Collect a more accurate medical history from your patients.

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Setup HIPAA compliant online forms. Streamline your process of collecting information from patients.
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Square Payment Processing

Quickly and efficiently collect patient payments using a HIPAA-compliant payment processing widget with reporting capabilities and the easy customizations you expect from FormDr.

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FormDr provides interoperability and customization solutions for every need, including Open API and select EMR / EHR integrations.

Save and Continue Later

Save and Continue Later

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.

Centralized Administrative Management

Centralized Team Management

Create administrative accounts by department, location, or clinic. Filter and segment your organization by setting up additional administrative users.

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FormDr gives your practice everything needed to easily send and receive HIPAA compliant forms online. We help practices who:

  • Are having patients fill out paper forms during the appointment
  • Are emailing patients a PDF or Word Doc to print out, fill out, scan, and send back
  • Are spending time manually printing and scanning paper forms