How to Complete the Psych/Medical Note Template
A Psych/ Medical Note template has been created for medical staff. The highlights of this note template are:  Ability to push from certain sections of the previous “Psychiatric Note” template. […]
How to Document Medication Consents within the Psych Medical Note Template or Any Textbox Â
In most situations, a separate, signed “Medication Consent” document is no longer required. Consents for medications can be captured/documented in the prescriber’s progress note. These recommendations are specific to consents […]
How to Enter Client Allergies (SmartCare Client Allergy Screen)
To enter client allergies, follow the steps below: Click the Search icon, with client open. Type Client Allergies into the search bar. Click to select Client Allergies (Client). Click the […]
CalMHSA 118 – Client Medical Face Sheet ReportÂ
The purpose of this report is to compile relevant client specific information that can assist in understanding a client’s medical history. A client must be selected in order to run […]
2024 Psych/Medical Note Template Associated to Procedure Codes
Considerations for Choosing Procedures/ ServicesÂ
Under Service Code Definitions which is broken down by role, you can learn about the procedure code for services and their definitions NOTE: This information should be considered as high-level […]
CalMHSA 100 Shared Care Plan Report
The Shared Care Plan Report compiles all the “Assessment and Plans” from the Psych Medical Note Template together into a report, if the “Add to Shared Care Plan” has been […]
How to Acknowledge Level 1 Drug Interactions
SEVERITY LEVEL: 1-Contraindicated Drug Combination: This drug combination is contraindicated and generally should not be dispensed or administered to the same patient. While prescribing medications, you may prescribe a medication […]
How to Complete Legal Status Demographics DocumentationÂ
DHCS requires that client demographics be captured as part of the report submitted by your county.  The following demographics can be captured by searching for Client Information. Click the Search […]
Service Code Definitions
Important Note: The following procedure code by degree listings are out of date, please use the following spread sheet for questions what degrees can deliver what services: https://2023.calmhsa.org/procedure-code-definitions/. We are working towards getting […]