Psychosocial Assessment Form – Mental Health
HISTORY AND MENTAL STATUS EXAM: PT INITIALS: CJ AGE: 29 M/F: Male UNIT: Mental Health Station 1 Date of Admission: 03/16/2020 Brief explanation for this admission including legal status (including Riese and Meredith status), main complaint (by the patient or by report) acute and chronic medical issues, nursing considerations, brief background such as where patient lives and with whom: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Personal History: Where was patient […]
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