Description
Section I: Chief ComplaintSection II: History of Present IllnessSection III: Psychiatric HistorySection IV: Substance Use HistorySection V: Family HistorySection VI: Personal and Social HistorySection VII: Medical HistorySection VIII: Review of SystemsSection IX: Examination, Including Mental Status ExaminationSection X: ConstitutionalSection XI: MusculoskeletalSection XII: Psychiatric ExaminationSection XIII: Review of Available DataSection XIV: Formulation, Diagnostic Impression and Plan