Provider Tools

Manuals and Guides

• YouthCare Provider Manual

Forms

Administrative and Claims

• W-9 Form (PDF)

Outpatient Treatment Request (OTR)

• Outpatient Treatment Request Form (PDF)
• Intensive Outpatient Services Request Form - Mental Health & Chemical Dependency (PDF)

Psychological Testing Forms

• Outpatient Psychological Testing Authorization Request Form (PDF)

Electroconvulsive Therapy Form

• Electroconvulsive Therapy Form (PDF)

Discharge Consultation Documentation

• Discharge Consultation Documentation (PDF)

Mobile Crisis Notification Form

• Mobile Crisis Notification Form (PDF)

Intensive In-Home Services Form

• Intensive In-Home Services Form (PDF)

Other Tools

Behavioral Health Toolkits for PCPs

• Anxiety
  • GAD-7 Anxiety Screening Tool (PDF)
  • Prescribing Directions for Psychotropic Medications - Anxiety (PDF)
  • Primary Care PTSD Screen (PC-PTSD) (PDF)
• Depression
  • Edinburg Postnatal Depression Scale (EPDS) (PDF)
  • Prescribing Directions for Psychotropic Medications - Depression (PDF)
  • PHQ-9 Patient Health Questionnaire (PDF)
  • PHQ-9 Patient Health Questionnaire Instructions (PDF)