Template library
Psychiatric note templates written by a prescribing clinician
Four psychiatric note templates — mental status exam, progress note, initial evaluation and review of systems — each with worked examples, the documentation errors that fail review, and a copy-paste fill-in version. Written for psychiatrists and PMHNPs, in DSM-5-TR and current CPT conventions. All examples are synthetic.
Mental status exam examples
Four worked MSEs — normal, MDD with passive SI, Bipolar I mania, psychotic disorder — the ten domains, the errors reviewers flag, and a fill-in template.
Psychiatric progress note template
What a follow-up note must contain, a full medication-management example (99214 + 90833), a diagnosis-organized A&P, and the copy-forward and MDM errors auditors look for.
Psychiatric intake template
The initial-evaluation structure, an HPI template with prompts, a medication-trial table, a sample evaluation excerpt, and an intake question bank grouped by domain.
Psychiatric review of systems
The twelve psychiatric domains, the medical ROS that matters for psychotropics, positive and negative phrasing that holds up on review, and a template.
From template to finished note
How Psynopsis generates each one
Every template on this page is the structure Psynopsis drafts from a recorded visit or a two-minute post-session dictation. The draft is yours to review, correct and sign — Psynopsis is documentation support, not clinical judgment.
- Mental status exam: Psynopsis drafts all ten MSE domains from the encounter, pre-fills normal findings and flags abnormal ones for review.
- Progress note: Psynopsis writes the interval history by symptom, reconciles the medication list with adherence and side effects, and organizes the A&P by diagnosis with a status word.
- Initial evaluation: Psynopsis drafts the HPI, psychiatric history, medication-trial table, family and social history, MSE, risk assessment and formulation from the recorded evaluation or your dictation.
- Review of systems: Psynopsis captures the psychiatric ROS and the medication-matched medical ROS, writes out pertinent negatives and flags side-effect positives.
See the full feature overview, the workflow for psychiatrists or PMHNPs, and the coding and documentation guides for 99213 vs 99214 and 90791 vs 90792.
Templates are the floor. Let the note write itself.
MSE, progress note, intake and ROS — drafted from the encounter in these structures, for your review.
Test with synthetic or de-identified examples · BAA on paid plans