Forensic Note

Assessment:[date name="Date" memo="Today's Date" format="mm-dd-yy"]
Chief Complaint: [text name="CC" memo="Chief Complaint:"]
This inmate is a [text name="age" memo="age"][select name="race" value="Caucasian|Black|Hispanic|Asian|Other"][select name="sex" value="Male|Female|Non-Binary"] with past Psychiatric Hx:[text name="pmhx" memo="Past Psychiatric Hx:"]
HPI: [textarea name="HPI" memo="HPI"]
Patient reports their mood is [checkbox name="Mood" value="Good|Poor|Depressed"]. States sleep is [select name="Sleep" value="Good|Disrupted|Poor"], gets [text name="variable_6" default="UTA"] hours, [select name="variable_5" value="continuously|UTA|wakes up & falls back asleep easily|wakes up but has difficulty falling back asleep"]. 
Reports appetite is "[text name="variable_7" default="good"]"", [select name="variable_6" value="UTA number of meals|eats all 3/3 meals|eats all 2/3 meals|eats all 1/3 meals"], [select name="variable_7" value="UTA if eats snacks|eats snacks|eats no snacks|N/A"], restrictions: [text name="variable_8" default="none"]. 
Chart Review:[textarea name="ChartReview" memo="Chart Review"]
[checkbox name="SUD" value="Denies|Cannabis|Alcohol|Meth|Opioids|Fentanyl|Cocaine|Hallucinogens"]Prior Meds:[textarea name="PastMeds" memo="Past Meds:" default="none"]
Reports medications are [select name="variable_11" value="working|not working|N/A none prescribed"] and [select name="variable_12" value="compliant with medications|noncompliant with medications|N/A none prescribed"]. Indicates [select name="variable_13" value="no medication side effects|medication side effects|N/A none prescribed"] and [select name="variable_14" value="no EPS/TD|EPS"] - [text name="variable_10" default="none"].
Mood Lability: [text name="Lability" memo="Lability" default="Denies" size="0"]    [text name="Details" memo="Details"]
Irritability: [text name="Irritability" memo="Irritability" default="Denies"] [text name="Details" memo="Details"]
Sleep:[text name="Sleep" memo="Sleep" default="No Concerns"] [text name="Details" memo="Details"]
Orientation: [text name="variable_11" default="A and O x4, day"]. 
Hallucinations: [checklist name="variable_2" value="reports none|auditory|visual|tactile|gustatory|olfactory|commands|no commands"]. [text name="Details" memo="Details:"]
Delusions: [checklist name="variable_3" value="reports none|paranoid|persecutory|grandiose|somatic|ideas of reference|thought broadcasting|magical thinking"]Details: [text name="Details" memo="Details:"]
Reports [select name="variable_17" value="no SI|SI|SIB"] and [select name="variable_18" value="no HI|HI"] and [select name="variable_19" value="no intent/plan|intent|intent/plan"].
Current legal charges: [text name="variable_13" default="UTA"].

MSE: 
Appearance - [checklist name="variable_6" value="adequately groomed|hair unkempt|beard unkempt|bald|shaved head|short hair|medium hair|long hair|poor hygiene|adequate hygiene|casually dressed - appropriate|casually dressed - inappropriate|missing teeth|tattoos"] [text name="Details" memo="Details:"] 
Behavior -[checklist name="variable_7" value="cooperative|uncooperative|calm|rude|annoyed|restricted|malingering"][text name="Details" memo="Details:"] 
Eye contact -[select name="variable_20" value="good|adequate|poor"][text name="Details" memo="Details:"]
Speech/Tone -[checklist name="variable_8" value="coherent|incoherent|fluent|hesitant|country accent|mumbling|slurred|stuttering|logorrhea|poverty|euthymic|monotone|flat|labile|annoyed"][text name="Details" memo="Details:"]
Speech Rate/Volume-[checklist name="variable_9" value="normal rate|rapid|pressured|labile|slow|normal volume|loud|soft|slightly"][text name="Details" memo="Details:"] 
Thought process-[checklist name="variable_10" value="normal|tangential|circumstantial|flight of ideas|thought blocking|mild|moderate|severe"][text name="Details" memo="Details:"] 
Thought content-[checklist name="variable_11" value="normal|perseveration|worries|obsessions/compulsions"][text name="Details" memo="Details:"] 
Attention/Concentration-[checklist name="variable_12" value="adequate|distracted|easily redirectable|difficulty redirecting|not redirectable|responding to internal stimuli|"][text name="Details" memo="Details:"] 
Memory-[checklist name="variable_13" value="intact|UTA|deficit|recent|remote|STM"][text name="Details" memo="Details:"]
Abstract thinking-[select name="variable_21" value="intact||concrete|poor|UTA"][text name="Details" memo="Details:"] 
Psychomotor movement-[checklist name="variable_14" value="none|restless|agitation|slow|UTA"][text name="Details" memo="Details:"]
AIMS score: [text name="variable_15" default="not due"]. 
Mood:   [checkbox name="Mood" value="Euthymic|Dysphoric|Flat|Blunted|Manic"]
Affect-[checklist name="variable_15" value="congruent with mood|incongruent with mood|full|labile|blunted|flat"][text name="Details" memo="Details:"]
Insight-[select name="variable_22" value="fair|limited|poor"][text name="Details" memo="Details:"]
Judgment-[select name="variable_23" value="fair|poor"][text name="Details" memo="Details:"]
Other patient observations/Medical ROS/Psych ROS/PMH: [text name="variable_16" default="none"].
Diagnoses:[checkbox name="Diagnoses" value="Manic Depressive Disorder|Depression|Anxiety|Insomnia|Psychotic Spectrum Disorder|Other:"] [text name="Other" memo="Other:"]
Current Medications:[textarea name="Meds" memo="Current Meds"]
Assessment: [textarea name="Assessment" memo="Assessment"]
Future Options: [textarea name="FutureOptions" memo="Future Options:" default="n/a"]
Plan:[textarea name="Plan" memo="Plan"]
Follow Up: [select name="FollowUp" value="1 Week|2 weeks|4 weeks|6 weeks|8 weeks|As needed"]
Assessment:Today's Date
Chief Complaint: Chief Complaint:
This inmate is a age with past Psychiatric Hx:Past Psychiatric Hx:
HPI:
HPI
Patient reports their mood is . States sleep is , gets hours, .
Reports appetite is """, , , restrictions: .
Chart Review:
Chart Review
Prior Meds:
Past Meds:
Reports medications are and . Indicates and - .
Mood Lability: Lability Details
Irritability: Irritability Details
Sleep:Sleep Details
Orientation: .
Hallucinations: . Details:
Delusions: Details: Details:
Reports and and .
Current legal charges: .

MSE:
Appearance - Details:
Behavior - Details:
Eye contact -Details:
Speech/Tone - Details:
Speech Rate/Volume- Details:
Thought process- Details:
Thought content- Details:
Attention/Concentration- Details:
Memory- Details:
Abstract thinking-Details:
Psychomotor movement- Details:
AIMS score: .
Mood:
Affect- Details:
Insight-Details:
Judgment-Details:
Other patient observations/Medical ROS/Psych ROS/PMH: .
Diagnoses: Other:
Current Medications:
Current Meds
Assessment:
Assessment
Future Options:
Future Options:
Plan:
Plan
Follow Up:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.46, 76 form elements, 99 boilerplate words, 34 text boxes, 7 text areas, 1 dates, 4 checkboxes, 12 check lists, 18 drop downs, 179 total clicks
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