Emotional support animal assessment for therapy needs
Download your free emotional support animal assessment template A comprehensive evaluation form used by licensed mental health professionals to determine patient eligibility for an emotional support animal, covering mental health diagnosis, functional impairment assessment, animal suitability evaluation, and ESA documentation with ethical and state-specific regulatory guidance. Download template Emotional support animals can provide genuine psychological […]
Adult counseling intake form for mental health
Download your free adult counseling intake form A ready-to-use intake form covering client demographics, presenting problems, mental health history, family background, substance use history, emergency contacts, insurance information, and informed consent declarations for adult therapy clients. Download template An adult counseling intake form is the first structured touchpoint between a therapist and a new client. […]
ICD-10 Code F54: Psychological factors affecting physical conditions
ICD-10 Code F54: Definition and clinical description ICD-10 Code F54 is the diagnosis code for “Psychological and behavioral factors associated with disorders or diseases classified elsewhere.” The F54 diagnosis code applies when psychological or behavioral elements contribute to a physical condition that’s diagnosed and coded separately in another ICD-10-CM chapter. The key concept is direction […]
Relationship questionnaire (RQ): free template and scoring guide
Download your free relationship questionnaire Relationship Questionnaire (RQ) A comprehensive assessment tool for evaluating relationship patterns, attachment styles, and interpersonal dynamics. Includes scoring guidance and clinical interpretation for therapy intake and ongoing couples counseling sessions. Download template A relationship questionnaire is a validated self-report tool that measures a client’s attachment style, relationship satisfaction, and interpersonal […]
ICD-10 code F73: Profound intellectual disabilities
ICD-10 Code F73: Definition and billable status ICD-10 Code F73 is the billable ICD-10-CM diagnosis code for Profound intellectual disabilities. It is classified under Chapter F01-F99 (Mental, Behavioral and Neurodevelopmental disorders) within the F70-F79 Intellectual Disabilities block. F73 is valid for submission on HIPAA-covered transactions and is listed as an active code in the CDC/NCHS […]
Anxiety fact sheet: Symptoms, causes and treatment
Download your free anxiety fact sheet Anxiety fact sheet (free PDF) A ready-to-use anxiety fact sheet covering patient details, anxiety disorder definitions, types (GAD, social anxiety, panic disorder), key symptoms, causes, evidence-based treatment options (CBT, medication), prevalence statistics, and clear guidance on when to refer for professional assessment. Download template Therapists, counselors, and healthcare professionals […]
HCPCS code H2015: Comprehensive community support services billing guide
HCPCS Code H2015: Definition and clinical description HCPCS Code H2015 has the following official description, as maintained by the Centers for Medicare and Medicaid Services (CMS): Field Detail HCPCS Code H2015 Short description Comp comm supp svc, 15 min Long description Comprehensive community support services, per 15 minutes Code category Other Mental Health and Community […]
Internet Addiction Test
Download your free Internet Addiction Test Internet Addiction Test A ready-to-use screening questionnaire covering internet use patterns, functional impairment, emotional state, and addiction severity indicators. Includes the standardized 20-item Likert-scale format with scoring guidance for clinical interpretation. Download template The Internet Addiction Test (IAT) is a validated screening tool used by mental health practitioners to […]
ABC PLEASE handout for emotion regulation skills
Download your free ABC PLEASE handout A ready-to-use DBT emotion regulation handout covering all eight skill components (Accumulate positive emotions, Build mastery, Cope ahead, PhysicaL illness care, Eating, Avoid mood-altering substances, Sleep, and Exercise) based on Marsha Linehan’s validated DBT Skills Training framework. Download template The ABC PLEASE handout is one of the most practical […]
Altman Self-Rating Mania Scale (ASRM)
Download your free Altman Self-Rating Mania Scale Get the printable PDF of the validated 5-item ASRM. It scores mood, self-confidence, sleep, talkativeness, and activity over the past week to screen for and monitor mania and hypomania. Download PDF The Altman Self-Rating Mania Scale (ASRM) is one of the fastest ways to screen for manic and […]