Screening

PHQ-9 Depression Screening

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PHQ-9 Depression Screening

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Full Name
Jane Martinez
Little interest or pleasure in doing things
Option A
Option B
Option C
Feeling down, depressed, or hopeless
Option A
Option B
Option C
Trouble falling or staying asleep
Option A
Option B
Option C
Feeling tired or having little energy
Option A
Option B
Option C
Poor appetite or overeating
Good
Fair
Poor
None
Feeling bad about yourself
Option A
Option B
Option C
Trouble concentrating
Option A
Option B
Option C
Moving or speaking slowly/being fidgety
Option A
Option B
Option C
Thoughts of self-harm
Option A
Option B
Option C
Difficulty these problems have caused
Select an option...
Submit
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Sign up and start customizing in minutes.

The PHQ-9 Depression Screening form digitizes the Patient Health Questionnaire-9, the most widely used standardized instrument for screening and monitoring depression severity. The nine items assess the frequency of depressive symptoms over the past two weeks, scored on a 0-3 scale (not at all, several days, more than half the days, nearly every day).

The digital version automatically calculates the total score and provides severity interpretation: minimal (0-4), mild (5-9), moderate (10-14), moderately severe (15-19), and severe (20-27). This structured scoring eliminates manual calculation errors and provides instant clinical decision support, recommending appropriate clinical actions based on the score range.

The form includes the critical ninth question about self-harm and suicidal ideation, with conditional logic that flags positive responses for immediate clinical review. Additional context questions capture whether the patient is currently in treatment, taking antidepressant medication, and functional impairment level. This template is used in primary care annual screening, behavioral health intake, medication management follow-up, and clinical research. It meets USPSTF screening recommendations and CMS quality measure requirements.

What's included

  • All nine PHQ-9 validated screening items
  • Automatic score calculation and severity
  • Self-harm question with clinical flagging
  • Functional impairment assessment
  • Clinical action recommendations by score
  • Treatment status context questions

Who uses this template

  • Primary care annual depression screening
  • Behavioral health intake and follow-up
  • Medication management monitoring
  • Clinical research and quality measurement

All form fields

11 fields across 1 page. Customize any field after signing up.

Full NameText
Little interest or pleasure in doing thingsMultiple Choice
Feeling down, depressed, or hopelessMultiple Choice
Trouble falling or staying asleepMultiple Choice
Feeling tired or having little energyMultiple Choice
Poor appetite or overeatingMultiple Choice
Feeling bad about yourselfMultiple Choice
Trouble concentratingMultiple Choice
Moving or speaking slowly/being fidgetyMultiple Choice
Thoughts of self-harmMultiple Choice
Difficulty these problems have causedDropdown

How to use the PHQ-9 Depression Screening

Getting started with this template takes just a few minutes. Sign up for a free Formisoft trial, then select the PHQ-9 Depression Screening from the template library. The form is ready to use immediately, but you can customize every field, add your practice logo, and adjust the layout to match your workflow.

Setup steps

  1. 1Choose the template. Find the PHQ-9 Depression Screening in the template library and click “Use this template” to add it to your account.
  2. 2Customize fields. Add, remove, or reorder any of the 11 fields. Set fields as required or optional based on your practice needs.
  3. 3Brand it. Upload your logo, pick your colors, and add a custom welcome message so patients see your practice identity.
  4. 4Share with patients. Send the form via SMS, email, or embed it on your website. Patients complete it on any device before their visit.
  5. 5Review submissions. Responses appear in your dashboard in real time. Patient records are created automatically from the data collected.

Frequently asked questions

Is the PHQ-9 Depression Screening HIPAA compliant?

Yes. All Formisoft templates, including the PHQ-9 Depression Screening, are HIPAA compliant. Data is encrypted with 256-bit AES at rest and TLS 1.3 in transit. A Business Associate Agreement (BAA) is included on every plan.

Can I customize the fields in this template?

Absolutely. You can add, remove, reorder, or modify any of the 11 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.

How do patients fill out this form?

Patients receive a link via SMS, email, or QR code. They complete the form on their phone, tablet, or computer before their appointment. No app download required.

Can I send this form automatically before appointments?

Yes. Formisoft's workflow automation can send intake forms automatically when an appointment is booked. You can set the timing (e.g., 48 hours before the visit) and include reminders for patients who haven't completed it.

Does this template work on mobile devices?

Yes. The PHQ-9 Depression Screening is fully responsive and works on any device. Most patients complete intake forms on their phone, so every template is optimized for mobile-first use.

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