Give your teen patients the freedom to complete the PHQ-9 Modified for Teens form with any device, anywhere. Ensure that teens are comfortable and respond privately by setting up your form online.
Easily personalize this form template with a HIPAA compliant form builder.
Start saving time and money with FormDr
This form includes 9 targeted questions to assess symptoms of depression and suicidal intent. By consistently screening patients, at-risk teens can be identified and helped with an appropriate treatment plan.
Early detection is a critical prevention strategy. The majority of people who die by suicide visit a healthcare provider within months before their death. This represents a tremendous opportunity to identify those at risk and connect them with mental health resources.
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.
Form submissions have a detailed history that can always be referenced. Audit logs cannot be changed and the history from all users is tracked.
Have your account match your company branding with FormDr White Labeled Enterprise. Create a customized, branded look without having to build your own HIPAA compliant online form software.
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.
Have your patient enter information once and have it autocomplete throughout your medical form online. Automatically populate PHI directly into additional fields and medical consent forms.
FormDr gives your practice everything needed to easily send and receive HIPAA compliant forms online. We help practices who: