Crisis Psychiatric Emergency Services Intake & Assessment Form

Crisis psychiatric emergency services require immediate, compassionate response paired with thorough documentation. This Crisis Psychiatric Emergency Services Intake & Assessment Form provides mental health crisis centers, psychiatric emergency departments, and community mental health agencies with a structured tool to gather critical information during high-stakes situations.

Whether you're managing voluntary walk-in admissions or involuntary commitment evaluations, this template guides clinicians through essential assessment areas including presenting concerns, dangerousness assessment, medication history, prior psychiatric treatment, and current support systems. The form captures information needed for immediate stabilization decisions while laying groundwork for discharge planning and community-based follow-up within the critical 7-day window.

Built with Paperform, this template offers the flexibility mental health professionals need. Conditional logic reveals relevant sections based on admission type (voluntary vs. involuntary), current risk levels, and treatment history. You can customize fields to match your facility's protocols, state reporting requirements, and evidence-based assessment tools while maintaining a compassionate, person-centered approach during crisis situations.

The form integrates seamlessly with your existing workflows. Connect submissions to your electronic health records system, trigger care coordination workflows using Stepper to automatically schedule peer support specialist contacts and 7-day follow-up appointments, and send appropriate notifications to treatment teams, family members, and community providers based on the individual's consent and safety plan.

Crisis psychiatric services operate at the intersection of healthcare, public safety, and social services—requiring documentation that meets clinical, legal, and ethical standards. This form template helps you capture comprehensive information efficiently during emergency situations, ensuring continuity of care from crisis intervention through community reintegration while respecting patient dignity and rights throughout the process.