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Physician Gender
Psychiatrist
Problem Diagnosis
1.
2.
3.
Medications Allergies
Medical Conditions
Social History
Personal History (eg childhood, education, relationship history, coping with previous stressors)
1
Relevant Physical and Mental Examination Investigations
Memory (Short & Long term) Judgement (Ability to make rational decisions)
Risk Assessment
Suicidal ideation Suicidal intent
Current plan Risk to Others
Key Family/
Support Contact
Notes