Patient History/Screening Form - Alamo Mental Health Group 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your First Name and Last Name in the designated fields. Ensure accuracy for proper identification.
3. Fill in your Gender, Age, and Date of Birth. This information is crucial for your medical records.
4. If applicable, provide Guardian details, Home Address, and Telephone number to facilitate communication.
5. State the Reason for your visit clearly. This helps the healthcare provider understand your needs better.
6. Answer the questions regarding drug or alcohol abuse, lawsuits, or disability status honestly to ensure appropriate care.
7. In the Medical and Psychiatric History section, detail any previous psychiatric care or hospitalizations you have experienced.
8. List any Current Medications you are taking to inform your healthcare provider of your treatment plan.

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