Health screening form 2026

See details

4.3 out of 5

25 votes

The document is a comprehensive Mental Health Screening Form used to assess individuals for mental health issues and determine the need for treatment or hospitalization. It includes sections for identifying data, psychosocial assessment, presenting problems, risk factors, medical history, treatment information, clinical impressions, and diagnostic impressions. The form aims to gather detailed information about the individual's mental health status, support systems, and any immediate risks to themselves or others. It also outlines criteria for inpatient psychiatric care and alternative community services.

Here's how it works

01. Edit your health screening form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send health screening form template via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out health screening form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the health screening form in the editor.
Begin by filling out the Identifying Data section. Enter the screen urgency, tracking number, and location of the interview. Make sure to include the date and time of the screening.
In the Consumer Status section, select the appropriate status from options such as 'Current CMHC Consumer' or 'Private Provider'.
Proceed to complete the Psychosocial Assessment. Indicate if there is a guardian involved and provide their contact information if applicable.
Fill out the Presenting Problems section by checking any relevant boxes that describe current dangers or issues faced by the individual.
Continue through each section, ensuring all fields are completed accurately. Use our platform's features to save your progress and make edits as needed.

Start using our platform today for free to efficiently complete your health screening form!

See more health screening form versions

We've got more versions of the health screening form form. Select the right health screening form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2011	4.3 Satisfied (25 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the main purpose of the health screening form?

A health screening form is purposely great in identifying potential health risks and ensuring adequate care is administered. It is also useful because it provides information to create solutions or controls that keep the environment safe.

What is an example of a health screening?

Annual Physical Examination Blood tests to check blood sugar and cholesterol levels. Immunizations, such as the flu shot. Pelvic exam (women) Weight, blood pressure, and temperature check. Screening questions about depression, smoking, and alcohol use.

What is a health screening form?

A health screening form is a document used to collect information about an individuals health status, potential symptoms, exposure to illnesses, and other relevant health-related details. Health screening forms are an important tool for promoting early detection and prevention of disease.