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 for medications and not general informed consent/consent to treat.
To review the CalMHSA protocol and memo by Manatt, click here. You can also find the vetted templates and suggested use cases.
- Begin writing your note as normal.
- Click to place your curser in the Information and Education box in the Medication section of your note.
- Click the Select Action icon in the upper right-hand corner.
- Select Favorite Phrases from the menu.
- A pop-up will appear named Use Key Phrases on the left side of your screen. Click the Agency tab.
- Click the Category drop-down.
- Select CalMHSA Key Phrases.
- Click the Use hyperlink under the appropriate phrase to insert into your note. (see table below for verbage).
- You will then need to edit the text as needed,
- Currently, will need to manually add medication information/sig, though in near-future psych note template, can refer to a selected medication list.
- Side effects currently will need to be added manually.
- Keyphrases of general side effects for drug/drug categories could be created by user and/or counties and inserted with the medication consent keyphrase
- Continue to document as normal.
