The Termination Checklist walks you through the complete intake process starting with basic client information and emergency contacts, then systematically addresses presenting complaints and symptom severity before diving into medical history including current medications and allergies. The substance use history section captures types of substances, frequency, duration, and previous treatment attempts, while the mental health section documents diagnoses, therapy history, and current symptoms. Social history fields cover living situation, employment, support systems, and legal issues, and the risk assessment section provides checkboxes for suicidal ideation, homicidal ideation, self-harm behavior, and risk to others. Additional assessment tool documentation fields allow you to record any supplementary screening instruments administered, and the dual signature requirement at the bottom ensures proper clinical documentation standards are met from the first contact.
