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Patient Health Questionnaire (PHQ-9) Form Template

The Patient Health Questionnaire (PHQ-9) is a self-administered questionnaire to assess depression severity and also response to treatment. Use our PHQ-9 online form template to send as well as receive to easily assess your patients at any time. Use our pre-built templates to save time and streamline your patient communication today!
Setup a PHQ-9

Patient Health Questionnaire (PHQ-9) Form Template

Give your patients the freedom to complete PHQ-9 questionnaires with any device, anywhere. Streamline the way you collect information and record responses by setting up your form online.

Easily personalize this Patient Health Questionnaire template with a HIPAA compliant form builder.

Patient Health Questionnaire (PHQ-9)

The Patient Health Questionnaire (PHQ) is a self-administered test for common mental disorders.

The Patient Health Questionnaire (PHQ) is a self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ-9 is the depression module, which scores each of the 9 DSM-IV criteria as “0” (not at all) to “3” (nearly every day). The PHQ-9 was completed by 6,000 patients in 8 primary care clinics and 7 obstetrics-gynecology clinics. Construct validity was assessed using the 20-item Short-Form General Health Survey, self-reported sick days and clinic visits, and symptom-related difficulty. Criterion validity was assessed against an independent structured mental health professional (MHP) interview in a sample of 580 patients. Read more about the PHQ-9.

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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.

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

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