Forms/Assessments Available

ICANotes has an extensive list of public domain behavioral health assessment tools built into our program. The current list appears below. A brief overview of the form-based assessment functionality within ICANotes is demonstrated in this video:

Video Link: https://www.youtube.com/watch?v=aMzycSGFp3o

 

This list was updated July 2025

 

AVAILABLE FORMS

 

1. General/Custom Forms:

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1. 4 Item Positive Symptom Rating Scale
   
2. Adjustment Disorder Questionnaire ADNM-8
   
3. AHCM Screening Tool
   
4. Authorization to Bill Insurance
   
5. Autism Spectrum Quotient (AQ)
   
6. Body Graph Assessment
   
7. Brief Bipolar Symptom Scale
   
8. Brief Irritability Test (BITe)
   
9. Brief Mood Introspection Scale (BMIS)
   
10. Brief Resilience Scale (BRS)
    
11. Brief Self-Control Scale (BSCS)
    
12. Brief Trauma Questionnaire
    
13. Clinical Institute Narcotic Assessment (CINA)
    
14. Compassion Scale (CS)
    
15. Crisis Prevention and Intervention Plan
    
16. Fagerström Test for Nicotine Dependence
    
17. Good Faith Estimate
    
18. Good Faith Estimate with Rates
    
19. Gratitude Questionnaire (GQ-6)
    
20. Incident Report
    
21. Individual Crisis Management Plan
    
22. Informed Consent
    
23. Life Chart Method (LCM)
    
24. Mindful Attention Awareness Scale (MAAS)
    
25. Notice of Privacy
    
26. Pain Treatment Agreement
    
27. Patient Satisfaction Survey
    
28. Positive and Negative Syndrome Scale (PANSS)
    
29. Psych Tech Rounds
    
30. Rapid Opioid Dependence Screen (RODS)
    
31. Records Release Authorization
    
32. Recovery Safety Plan
    
33. Safety Plan
    
34. SBAR form
    
35. SLUMS Exam
    
36. Social Interaction Anxiety Scale (SIAS)
    
37. Stanley Brown Safety Plan
    
38. Telehealth Services Informed Consent
    
39. UNCOPE Screening
    
40. Unusual Incident Report
    
41. Work and Social Adjustment Scale (WSAS)
    

 

2. Adult Assessments:

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1. 1915(i) IA v.11 (5/21/2014) - New
   
2. Adult ADHD Symptom Rating Scale - Observer
   
3. AIMS
   
4. ANSA: Adult Needs and Strengths Assessments
   
5. ASI: Addiction Severity Index
   
6. ASRS: Adult ADHD Self-Report Scale
   
7. AUDIT-C: Alcohol Use Disorders Identification Test-Concise
   
8. Beacon DLA20 with Supplemental Questions
   
9. BIMS
   
10. Borderline Personality Screener
    
11. Brief Addiction Monitor
    
12. Brief Addiction Monitor - IOP
    
13. Brief Addiction Monitor - Revised
    
14. BSDS: Bipolar Spectrum Diagnostic Scale
    
15. C-SSRS Inpatient Discharge Screener
    
16. C-SSRS Lifetime/Recent - Clinical
    
17. C-SSRS Risk Assessment
    
18. C-SSRS Screening Version - Recent
    
19. C-SSRS Screening Version - Since Last Visit
    
20. CAGE: Substance Abuse Screening Tool
    
21. CES Depression Scale
    
22. CIWA-Ar: Clinical Institute Withdrawal Assessment for Alcohol
    
23. CIWA-b: Benzodiazepine Withdrawal Scale
    
24. Columbia Depression Scale - Last 4 weeks (Parent)
    
25. Columbia Depression Scale (Year) - Parent
    
26. COVID Vaccination Screening Form
    
27. COWS: Clinical Opiate Withdrawal Scale
    
28. Cultural Formulation Interview
    
29. DASS-21: Depression Anxiety Stress Scale
    
30. DASS-42: Depression Anxiety Stress Scale
    
31. DAST-10: Drug Abuse Screening Test
    
32. Dimensions of Psychosis Symptom Severity
    
33. Dissociative Experiences Scale II
    
34. DLA-20: Daily Living Activities
    
35. DSM-5 Self Rated Level 1 Cross-Cutting Symptom Measure-Adult
    
36. Eating Disorder Diagnosis Scale
    
37. Edinburgh Postnatal Depression Scale
    
38. End of Life Checklist
    
39. FAD: McMaster Family Assessment Device (Subscales)
    
40. Fall Risk Assessment
    
41. FARS: Functional Assessment Rating Scale
    
42. Flourishing Scale
    
43. Form Name: MFQ . Parent Report on Child: Long Version
    
44. GAD-2
    
45. GAD-7: Generalized Anxiety Disorder Screener
    
46. GAIN: Short Screener
    
47. GDS: Geriatric Depression Scale
    
48. Geriatric Depression Scale - Long  Form
    
49. GSC DSM 5 Checklist
    
50. HAM-A: Hamilton Anxiety Rating Scale
    
51. HAM-D: Hamilton Depression Rating Scale
    
52. International Adjustment Disorder Questionnaire
    
53. International Prolonged Grief Disorder Scale
    
54. International Trauma Exposure Measure
    
55. International Trauma Questionnaire
    
56. Katz Index of Independence in Activites of Daily Living
    
57. Kessler Psychological Distress Scale
    
58. Level 2 Thoughts and Behaviors
    
59. MADRS
    
60. MAST: Michigan Alcohol Screening Test
    
61. MDI: Major Depression Inventory
    
62. MDQ: Mood Disorder Questionaire
    
63. MFQ - Adult: Long Version
    
64. MFQ - Adult: Short Version
    
65. MFQ - Parent Report on Child: Short Version
    
66. Mini Nutritional Assessment
    
67. MSI: Marital Status Inventory
    
68. Ohio Scales for Adults
    
69. ORAS-CAT: Ohio Risk Assessment - Community Supervision Tool
    
70. Parental Stress Scale
    
71. Parenting Daily Hassles Scale (DHS)
    
72. PCL-5: Post-Traumatic Stress Disorder Checklist
    
73. Personal Drinking Questionnaire
    
74. Personality Inventory - Adult
    
75. PHQ-2
    
76. PHQ-9 Patient Health Questionnaire
    
77. Primary Care PTSD Screen for DSM-5
    
78. PSWQ Penn State Worry Questionnaire
    
79. QIDS-C: Quick Inventory of Depressive Symptomatology
    
80. QOL - Quality of Life
    
81. RAADS-14
    
82. RAADS-R
    
83. Rand 36 Item Survey
    
84. Rule 25 Assessment - Alcohol and Drug Abuse Division
    
85. SAFE-T Protocol with C-SSRS
    
86. Safety Assessment
    
87. Satisfaction with Life Scale
    
88. Scale of Positive and Negative Experience
    
89. Severity of Nonsuicidal Self Injury
    
90. Severity of ODD
    
91. Six Item Cognitive Impairment Test
    
92. SOAPP-R
    
93. South Oaks Gambling Screen Assessment
    
94. Suicide Risk Assessment
    
95. TCU Drug Screen V
    
96. URICA: Change Assessment Scale - Alcohol
    
97. URICA: Change Assessment Scale - Drug
    
98. URICA: Change Assessment Scale - Psych
    
99. Wahler Self-Description Inventory
    
100. Wender Utah Rating Scale
     
101. WHODAS 2.0 36 Item Self
     
102. YMRS: Young Mania Rating Scale
     
103. Zung Scales for Anxiety
     
104. Zung Self-Rating Depression Scale
     

 

3. Child Assessments:

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1. 1915(c) IBH Assessment - New
   
2. ACE: Adverse Childhood Experience
   
3. Borderline Personality Screener
   
4. C-SSRS Inpatient Discharge Screener
   
5. C-SSRS Lifetime/Recent - Clinical
   
6. C-SSRS Risk Assessment
   
7. C-SSRS Screening Version - Recent
   
8. C-SSRS Screening Version - Since Last Visit
   
9. CA Child and Adolescent Needs and Strengths
   
10. CANS: Child and Adolescent Needs and Strengths
    
11. CATS: Child and Adolescent Trauma Screen
    
12. CFARS: Children's Functional Assessment Rating Scale
    
13. Child and Adolescent Inpatient Behavioral Scale
    
14. Child Mania Rating Scale (CMRS), Parent Version
    
15. Children's Uniform Mental Health Assessment
    
16. Columbia Depression Scale (4 weeks) - Youth
    
17. Columbia Depression Scale (Year) - Youth
    
18. COVID Vaccination Screening Form
    
19. CPSS: Child PTSD Symptom Scale
    
20. CRAFFT Screening Test
    
21. CRAFFT+N 2.1 Interview
    
22. DLA-20: Daily Living Activities Youth
    
23. DSM-5 Parent/Guardian Rated L1 Cross-Cutting Symptom Measure Child 6-17
    
24. DSM-5 Self Rated Level 1 X-Cutting Symptom Measure-Child age 11-17
    
25. Eating Disorder Diagnosis Scale
    
26. Epidemiological Studies - Depression Scale for Children
    
27. FAD: McMaster Family Assessment Device (Subscales)
    
28. GSC DSM 5 Checklist
    
29. International Trauma Questionnaire - Child and Adolescent
    
30. MFQ - Child: Long Version
    
31. MFQ - Child: Short Version
    
32. Mini Nutritional Assessment
    
33. NICHQ Vanderbilt Assessment Scale - Teacher
    
34. NICHQ Vanderbilt Parent Assessment
    
35. NICHQ Vanderbilt Parent Follow-up
    
36. Ohio Scales Parent Rating
    
37. Ohio Scales Worker Rating
    
38. Ohio Scales Youth Rating
    
39. PEARLS Pediatric ACE's and Related Life Events Screener
    
40. Personality Inventory - Child
    
41. PHQ 9 Modified for Teens
    
42. PHQ-A: Patient Health Questionnaire, Adolescent
    
43. POSIT: Problem Oriented Screening Instrument for Teenagers
    
44. Primary Care PTSD Screen for DSM-5
    
45. PSC Pediatric Symptom Checker
    
46. RAADS-14
    
47. RAADS-R
    
48. Rand 36 Item Survey
    
49. RAPI: Rutgers Alcohol Problem Index
    
50. RCADS: Revised Children's Anxiety and Depression Scale
    
51. RCADS-P: Revised Children's Anxiety and Depression Scale - Parents
    
52. SAFE-T Protocol with C-SSRS
    
53. SCARED: Screen for Child Anxiety Related Disorders - Parent Version No Scoring
    
54. SCARED: Screen for Child Anxiety Related Disorders-Child Version No Scoring
    
55. SCARED: Screen for Child Anxiety Related Disorders-Child Version With Scoring
    
56. Severity of Conduct Disorder
    
57. SNAP IV Teacher and Parent Rating Scale
    
58. Suicide Risk Assessment
    
59. TESI-C Traumatic Events Screening Inventory for Children
    

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Completing a Custom Form

A new Form/Assessment may be started by clicking on  from a patient's Chart Face. After clicking that button, you will be taken to another screen. This screen will have all of the Forms/Assessments available to you, listed in the three columns.

 

A.  When you find the form you want to complete, click the  to the left of the item, so that it looks like this: 

​
 

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B.  Next, click the  button on the upper-right of the screen. After that, you will be taken to the custom form itself.

 

The screenshot below is just a sample of what a custom form might look like:

 

A. If you have selected the wrong form, just hit the  button at the top of the page to go back to the list of custom forms.

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B. Some Custom Forms have multiple pages. If they do, they will have tabs at the top that will allow you to switch between them. If that is the case, make sure you have reviewed every page of the form before proceeding. Additionally, some forms have information that is pre-populated from a patient’s chart or other areas of ICANotes, while other forms have drop-down menus, checkboxes, YES/NO selectors, sliders, or fields that must be typed in. Take note of this to ensure that your form is filled out completely and accurately.

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C and D. When you have finished filling out and reviewing all applicable fields of the Custom Form, press  to save it and continue to the compiled note, or  to cancel and go back to the Chart Face.

 

If you compiled your note, you will be taken to the Preview Compiled Note screen.

 

 

A.  As with all notes, you may print the form by clicking either .

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B.  If you need to go back and make changes to the form, click  (make sure to re-compile any changes you made). 

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C.  If you need to review your finished Custom Form in larger view, click .

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D. If you need to delete the created form, click on .

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The following Assessments are no longer available due to copywrite limitations/exclusions

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1. Locus: Level of Care utilization System
   
2. CASII: Child and Adolescent Service Intensity Instrument-2pg (formally named CALOCUS)
   
3. CASII: Child and Adolescent Service Intensity Instrument (formally named CALOCUS)
   

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