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

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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.

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Discover More Features

Setup HIPAA compliant online forms. Streamline your process of collecting information from patients.
Custom Thank You Page

Custom Thank You Page

Create your own custom ‘Thank You’ page to direct patients to upon completion of your forms. Forward them along to the next steps of your intake process.

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Forms on iPads or Tablets

Give patients the option to sign and complete forms online with an iPad or tablet. Online forms work on all tablets and iPads.

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Sync Submissions to Google Drive

When you receive a patient form submission, automatically send the submission directly to your Google Drive folder.

Print HIPAA Compliant Submissions

Print HIPAA Compliant Form Submissions

Print your patients’ submissions after the forms have been completed online. Adjust the formatting and text size to match your original paper forms.

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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