Essential Clinical Forms Package – Spanish

Essential Documentation from Intake to Discharge.

Satisfies Medicare Regulations and Medical Necessity Guidelines

Developed to meet Medicare standards, the Documentation Wizard Clinical Forms initiate the Golden Thread with the Intake Summary and maintain it right through to the Discharge Summary.

The Documentation Clinical Forms provide a high level of structure not seen in other clinical forms.

DW Forms are not generic templates with limiting dropdown menus, predefined answers, or constrained by limited space. These types of templates are designed primarily for reimbursement purposes.

Because all the content needed has been distilled into discrete categories and sections, the formatting is deceivingly simple. For Example, there’s not one big box for “Clinical content” or another for “Assessment comments,” leaving you to wonder what clinical content to include and what of the 6 assessments in a session note to address! The Documentation Wizard Clinical Forms provide prompts for all clinical content and assessments!  This helps you create a cohesive narrative without telling the details of the story.

That took 1000s of hours of work. So, they are simple to use. But not simplistic. And they’ve been reviewed by three attorneys, countless clinicians, and a bioethicist with 2 thumbs up.

The Documentation Wizard Clinical Forms:

• include the mandated insurance content
• provide all the prompts necessary to justify medical necessity
• enhance your clinical thinking, protect client confidentiality and protect your income.
• include selective dropdown menus and checkboxes to assist with quick completion.

But that’s not all! The DW Clinical Forms:

• include all the clinical content that helps you assess a client’s progress, and
• provide space for short narratives where needed or required so your clinical voice and practice needs can and should be heard.

In other words, designed around a simple (but not simplistic) formula, the Documentation Wizard Clinical Forms take the guess work out of what and how much to write.  They help reduce Documentation Anxiety!

The DW Clinical Forms can be customized to meet your clinical needs and stored in a paper file or on your computer. You may be able to upload the forms into your digital program or use them to augment your online system. Please check with your practice management system for confirmation.

Customization

Customizing these Microsoft WORD and PDF Fillable documents for your specific practice needs and state requirements couldn’t be easier. Content outside the editble areas should remain unchanged to maintain the integrity and legal accuracy of the documents. The copyright notices must remain on all forms and may not be removed. These forms are the intellectual property of Documentation Wizard, LLC. You may share them with clients to complete and for your own clinical use, but you may not sell, give away, or redistribute the forms themselves, whether original or modified. These forms are provided as templates only and do not constitute legal advice. For legal guidance specific to your situation, please consult with an attorney in your state.