The Clinical Documentation Sourcebook
The Clinical
Documentation
Sourcebook
Practice Planners? Series
Treatment Planners
The Complete Psychotherapy Treatment Planner
The Child & Adolescent Psychotherapy Treatment Planner
The Chemical Dependence Treatment Planner
The Continuum of Care Treatment Planner
The Couples Psychotherapy Treatment Planner
The Employee Assistance Treatment Planner
The Pastoral Counseling Treatment Planner
The Older Adult Psychotherapy Treatment Planner
The Behavioral Medicine Treatment Planner
Homework Planners
Brief Therapy Homework Planner
Brief Couples Therapy Homework Planner
Chemical Dependence Homework Planner
Child and Adolescent Homework Planner
Documentation Sourcebooks
Clinical Documentation Sourcebook
The Forensic Documentation Sourcebook
The Psychotherapy Documentation Primer
The Chemical Dependence Documentation Sourcebook
The Clinical Child Documentation Sourcebook
Couples & Family Clinical Documentation Sourcebook
The Clinical Documentation Sourcebook, Second Edition
The Clinical
Documentation
Sourcebook
A Comprehensive Collection of
Mental Health Practice Forms,
Handouts, and Records
Second Edition
Donald E. Wiger
PostScriptPicture
WILEY.EPS
John Wiley & Sons, Inc.
New York
?
Chichester
?
Weinheim
?
Brisbane
?
Singapore
?
Toronto
This book is printed on acid-free paper.
Copyright ? 1999 by John Wiley & Sons, Inc. All rights reserved.
Published simultaneously in Canada.
No part of this publication may be reproduced, stored in a retrieval system or transmitted in any
form or by any means, electronic, mechanical, photocopying, recording, scanning or otherwise,
except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without
either the prior written permission of the Publisher, or authorization through payment of the
appropriate per-copy fee to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA
01923, (978) 750-8400, fax (978) 750-4744. Requests to the Publisher for permission should be
addressed to the Permissions Department, John Wiley & Sons, Inc., 605 Third Avenue, New York,
NY 10158-0012, (212) 850-6011, fax (212) 850-6008, E-Mail: PERMREQ@.
This publication is designed to provide accurate and authoritative information in regard to the
subject matter covered. It is sold with the understanding that the publisher is not engaged in
rendering professional services. If legal, accounting, medical, psychological or any other expert
assistance is required, the services of a competent professional person should be sought.
Designations used by companies to distinguish their products are often claimed as trademarks.
In all instances where John Wiley & Sons, Inc. is aware of a claim, the product names appear in
initial capital or all capital letters. Readers, however, should contact the appropriate companies for
more complete information regarding trademarks and registration.
Diagnostic criteria taken from DSM-IV reprinted with permission from the Diagnostic and Statistical
Manual of Mental Disorders, Fourth Edition. Copyright 1994 American Psychiatric Association.
Note about Photocopy Rights
The publisher grants purchasers permission to reproduce handouts from this book for professional use with
their clients.
Library of Congress Cataloging-in-Publication Data:
Wiger, Donald E., 1953¨C
The clinical documentation sourcebook : a comprehensive collection
of mental health practice forms, handouts, and records / by Donald E.
Wiger. ¡ª 2nd ed.
p.
cm. ¡ª (Practice planners series)
Accompanied by one computer disk.
ISBN 0-471-32692-5 (paper: alk. paper)
1. Psychiatry¡ªMedical records¡ªForms. 2. Mental health services¡ª
Medical records¡ªForms. I. Title. II. Series: Practice planners.
[DNLM: 1. Mental Health Services¡ªforms. 2. Documentation¡ª
methods¡ªforms. 3. Medical Records¡ªforms. WM 30W654c 1999]
RC455.2.M38W54
1999
616.89¡ä 0068¡ªdc21
DNLM/ DLC
for Library of Congress
98-38798
Printed in the United States of America.
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This second edition is dedicated to my loving wife, Debra.
There were so many times when I came home
from work exhausted from seeing clients, but still had to write
reports and then work on the book. You were always
there to say a kind word and rub my back. Thank you.
Let¡¯s go out to eat tonight. My mother will watch the children.
................
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