Patient Health Questionnaire (PHQ)


(5 / 5) 86 votes
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Get your Patient Health Questionnaire (PHQ) in 3 easy steps

  • 01 Fill and edit template
  • 02 Sign it online
  • 03 Export or print immediately

What Is a Patient Health Questionnaire?

Healthcare providers use a patient health questionnaire PHQ 9 to gather information about a patient's medical history, current health status, and other relevant factors. This information is essential in helping healthcare providers make informed decisions about a patient's treatment plan. 

Patients can fill out patient health questionnaires online or in person at a healthcare provider's office. Also, a patient health questionnaire for adolescents is a valuable tool that healthcare providers can use to gain insight into a young person's medical history and current health status.

Patient Health Questionnaire Form Screenshot

How To Fill Out a Patient Health Questionnaire PHQ 9

Filling out a patient health questionnaire online is a convenient way for patients to provide their medical history and other relevant information to their healthcare provider. The steps for filling out a patient health questionnaire online are as follows:

  1. Access the patient health questionnaire (PHQ-9). You can find and fill out this form for free on the PDFliner website.
  2. Read the instructions and questions carefully, and ensure that all information is accurate and complete.
  3. Answer all questions truthfully, including any medications or supplements you currently take.
  4. If there are any questions that you do not understand or cannot answer, leave them blank or provide a note for your healthcare provider.
  5. Submit the completed PHQ 9 patient health questionnaire electronically.

What Should Patient Health Questionnaire (phq) Include

Patient health questionnaires should include a range of questions that help healthcare providers understand a patient's medical history, current health status, and any risk factors that may be relevant to their care. Some of the questions that may be included in a patient health questionnaire are:

  • Personal information, such as name, age, and contact information.
  • Medical history, including any past illnesses, surgeries, or hospitalizations.
  • Current medications, including prescription drugs, over-the-counter medications, and supplements.
  • Allergies or sensitivities to medications or other substances.
  • Family medical history, including any genetic predispositions to certain conditions.
  • Lifestyle factors include diet, exercise habits, and smoking or alcohol use.
  • Mental health history, including any history of depression or anxiety.
  • Symptoms and concerns may be relevant to the patient's current health status.

When to Request a Patient Health History Questionnaire

Health care providers in various locations, including primary care offices, specialty clinics, and hospitals, may request patient health status questionnaires. So healthcare providers may request a patient health questionnaire when:

  • A patient is seeing a new healthcare provider for the first time.
  • A patient is being evaluated for a specific health condition or concern.
  • A patient is undergoing a medical procedure or treatment.
  • A patient is participating in a clinical trial or research study.
  • A patient is receiving ongoing care for a chronic health condition.

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Fillable online Patient Health Questionnaire (PHQ)
(5 / 5) 86 votes
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