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Psychiatry · Templates

Psychiatry follow-up template

Built for return visits where medication response, symptom change, and safety need a clear interval story—not a redo of the entire intake.

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Psychiatry Follow-Up Note

Interval History
- Changes since last visit: mood, anxiety, sleep, appetite, energy, concentration, interest, psychosis, trauma symptoms.
- Functional changes and relevant stressors.
- Screening scores if repeated (PHQ-9, GAD-7, etc.).

Medication Response
- Current regimen, adherence, perceived benefit, adverse effects, and any missed doses.
- Recent dose changes and rationale.

Mental Status Examination
- Focused MSE with attention to changes from prior exam.

Safety / Risk
- SI/HI, self-harm, agitation, protective factors, and risk level with brief rationale.

Assessment
- Updated clinical impression and diagnostic status.

Plan
- Medication adjustments, monitoring, therapy coordination, safety planning, and follow-up timing.

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

  • Centers interval change rather than repeating the full history every visit.
  • Keeps medication response and adverse effects visible for longitudinal care.
  • Supports telepsychiatry and in-clinic follow-ups with the same structure.

Best for

Visit types and clinicians who use this format

  1. 01Medication follow-up visits
  2. 02Stability checks between intakes
  3. 03Collaborative care psychiatry touchpoints

How Wavo automates this

What the product actually does with your template.

  1. 01

    Add the template

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

  2. 02

    Record or dictate

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

  3. 03

    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

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