The following templates are available for your use but are not mandatory. They were developed with the assistance of local practitioners and meet our standards and expectations for documentation. For HEDIS^® quality related information, please visit our HEDIS^® Measures page  .

Alcohol Assessments

• CAGE QuestionnaireOpen a PDF
• CRAFFT QuestionnaireOpen a PDF

Substance Use Disorders

• Addiction and Misuse
• Addiction and Misuse - Opioid Risk Tool
• National Alcoholism and Substance Abuse Information Center
• Screening, Brief Intervention, and Referral to Treatment (SBIRT) is a public health approach for early intervention

Depression Screening Tool

• PH9-Q SpanishOpen a PDF
• PH9-Q EnglishOpen a PDF
• PH9-Q Scoring ToolOpen a PDF
• Anxiety Screening ToolOpen a PDF

Eating Disorders

• Eating Disorder Assessment FormOpen a PDF
• BMI Chart - Girls - age 2 to 20 (National Center for Health Statistics)Open a PDF
• BMI Chart - Boys - age 2 to 20 (National Center for Health Statistics)Open a PDF

Mental Health

• Substance Abuse and Mental Health Services Administration
• ADHD Guideline
• Depression Guideline Adults in Primary Care