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EHR for psychiatry practices
A psychiatric note with a full mental status exam, safety and risk assessment, screening scales and psychopharmacology in one place, and controlled substance prescribing with PDMP checks.
A note template built for psychiatry
The Psychiatry E&M template covers a psychiatric evaluation or medication management visit from history to treatment.
History
- Psychiatric history and prior medication trials
- Substance use history
- Trauma history
- Family psychiatric history
- Developmental and educational history
- Collateral information
Mental status and safety
- Mental status exam, from appearance to insight and judgment
- Suicide and violence risk assessment
- Firearms and lethal means counseling
- Safety plan and crisis resources
- Medication side effects and metabolic monitoring
Treatment
- Diagnostic formulation
- Psychopharmacology plan
- Psychotherapy
- Controlled substance safety
- Level of care and coordination
- Telehealth attestation
Every section can be adjusted to how your practice documents.
A check-in that asks the right questions
Before the visit, patients choose what brings them in from 34 psychiatry reasons, so the reason for the visit is in the chart before you walk in. Among them:
The check-in also covers demographics, history, social history and a specialty review of systems.
Consents and forms included
Psychiatry documents patients can read and sign electronically, as part of check-in or on their own.
- Psychiatry patient check-in
- Psychiatric medication informed consent
- Stimulant and benzodiazepine treatment agreement
- Transcranial magnetic stimulation (TMS) consent
- Infusion and injectable therapy consent (long-acting injectables)
- Behavioral health screening measures
Every form can be edited to match your practice’s policies.
Prescribing with safeguards
e-Prescribing includes controlled substances, and prescribers can check the state prescription monitoring program (PDMP) from NovoClinical.
Screening and rating scales such as PHQ-9, GAD-7, C-SSRS, MDQ, ASRS and ISI are part of the note.
Questions psychiatry practices ask
Does the note include a safety assessment?
Yes. The safety and risk section covers suicide and violence risk, non-suicidal self-injury, firearms and lethal means counseling, abuse and intimate partner violence screening, and the safety plan.
Can we prescribe stimulants and benzodiazepines?
Yes. e-Prescribing includes controlled substances with PDMP checks, and a stimulant and benzodiazepine treatment agreement is included.
Which rating scales are available?
The note includes PHQ-9, PHQ-2, GAD-7, HAM-A, MDQ, C-SSRS, PTSD screens, AUDIT, CAGE, DAST-10, ASRS, ISI and MMSE, among others.
What does it cost?
The complete EMR is $285 to $385 per provider per month, with scheduling, intake, the patient portal and e-prescribing included. AI features are billed separately, by usage. See pricing
See NovoClinical with psychiatry templates
Tell us about your practice. We will contact you to set a time and show the system with the templates, check-in and forms you would use every day. Prefer to talk now? Call 385-715-1156.