Presenting Problem
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Arrival
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Identification
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Severity
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Onset
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Mood Screening
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SI/HI
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HI
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Risk Assessment
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SUD Reported:
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Behavior
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Affect
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Themes Discussed
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Tx Interventions
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Sx's Observed
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Sx's Consistent with Dx?
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Axis I
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Axis II
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Axis III
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Axis IV
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Plan
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Next Appt
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