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!

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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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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Have parents and guardians electronically sign medical consent forms for children. Parents and guardians can easily sign HIPAA compliant online forms with their phone, tablet, or computer.
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HIPAA Authorization Form

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PHQ-9 Modified for Teens

Give your teen 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.

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Collect electronic patient signatures before the appointment. Easily give your patients the ability to digitally sign from their phone, tablet, or computer.

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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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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.

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Send a text message invitation to your patients to complete your forms. Give patients the freedom to sign and complete forms with any device, anywhere.

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FormDoctor gives your practice one HIPAA-compliant platform to collect forms, communicate with patients, and automate follow-up. We help practices who:

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