DSM-Style Assessment Form Template

A structured assessment form template modeled after DSM-5 diagnostic criteria, designed for psychology, counseling, and social work students. Use it to practice clinical assessments, complete course assignments, or prepare for practicum and internship placements.

What's Included

• Client Identifying Information section
• Presenting Symptoms & Chief Complaint
• DSM-5 Diagnostic Criteria Checklist (customizable per disorder)
• Symptom Duration & Severity Rating Scale
• Rule-Out Differential Diagnosis section
• Provisional vs. Confirmed Diagnosis fields
• Clinician Notes & Observations
• APA 7th edition citation placeholder

Who It's For

Students in Psychology, Counseling, Social Work, and Psychiatric Nursing programs who need a reliable framework for clinical assessment coursework.

Format

Instant digital download. Compatible with Microsoft Word and Google Docs.