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Psychiatry · Templates

Mental status examination template

A clean MSE skeleton for psychiatry and behavioral health. Use it alone for focused exams, or merge sections into your intake and follow-up templates in Wavo.

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Template content

Copy or download, then paste into Wavo under My Templates.

Mental Status Examination

Appearance
- Grooming, dress, apparent age, distinguishing features.

Behavior / Attitude
- Eye contact, psychomotor activity, cooperativeness, agitation or retardation.

Speech
- Rate, rhythm, volume, spontaneity, latency.

Mood
- Patient-reported mood in quotes when available.

Affect
- Range, congruence, reactivity, and stability.

Thought Process
- Linearity, goal-directedness, associations, organization.

Thought Content
- Worries, ruminations, delusions, obsessions, suicidal/homicidal ideation as discussed.

Perception
- Hallucinations or perceptual disturbances; response to internal stimuli.

Cognition
- Orientation, attention/concentration, memory as assessed; formal testing if performed.

Insight
- Awareness of illness and need for treatment.

Judgment
- Decision-making relevant to safety and care.

When to use this template

What makes the structure useful, and which visits it fits best.

Why this template works

Structural advantages for real documentation

Best for

Visit types and clinicians who use this format

  • Keeps MSE domains consistent across clinicians in a practice.
  • Works for in-person and telepsychiatry observations.
  • Easy to trim for focused follow-ups or expand for intakes.
  • 1Psychiatric evaluations
  • 2Inpatient daily MSE documentation
  • 3Teaching clinics needing a shared structure

How Wavo automates this

What the product actually does with your template.

1. Add the template

Paste this content into My Templates, or start from a specialty-generated template and edit the sections.

2. Record or dictate

Capture the encounter with ambient recording or dictation. Wavo structures the note using your template.

3. Review and sign

Edit with Smart Transform if needed, then export or copy into your EHR. You stay responsible for the final note.

Put this template to work on your next visit

Start free, paste the template, and see how Wavo documents in your structure.

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