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Risk screening intake documentation

Risk screening intake documentation

Intake screening vs ongoing documentation

Ontario psychotherapists typically screen for self-harm, harm to others, and substance use at intake. The screening form or questionnaire supports your first-session clinical assessment.

Distinguish:

  • Intake screening form — collected pre-session; belongs in the client file as intake documentation
  • Ongoing risk notes and safety plans — documented in session records; stored in your EMR

Hivi-X handles the intake document collection step. Session-level risk documentation remains in your charting system.

Checklist approach

Add checklist items such as:

  • Risk screening questionnaire (completed)
  • Emergency contact verified
  • Safety planning resources provided (if applicable at intake)

Clients upload through the my-id.ca portal. You approve submissions before session one so you can prepare clinically — not discover gaps mid-assessment.

Disclaimer on clinical scope

Hivi-X does not provide psychotherapy, clinical assessments, or automated risk scoring. You remain responsible for clinical decisions, mandatory reporting obligations, and documentation standards under CRPO guidance.

General information for Ontario psychotherapists and counselling practices only. Not legal, clinical, privacy, or psychotherapy advice. Not affiliated with or endorsed by CRPO or any college. Hivi-X is document-collection software — it is not a licensed psychotherapist, does not provide psychotherapy or clinical assessments, does not certify PHIPA or CRPO compliance, and does not replace your EMR or clinical record obligations. You remain the health information custodian under PHIPA. Consult qualified counsel and your professional liability insurer.

Answers are general operational information only — not legal, tax, regulatory, clinical, privacy, immigration, or professional advice. Requirements vary by matter, client, and regulator.

Frequently asked questions

Is risk screening part of intake or clinical notes?
Initial risk screening often belongs in intake documentation collected before or at the start of treatment. Ongoing risk assessment and safety planning documentation typically live in session notes under CRPO Standard 5.1.
Does Hivi-X provide clinical risk assessment tools?
No. Hivi-X collects documents you define on a checklist. It does not score risk, diagnose, or replace clinical judgment.
Should risk screening forms go through email?
Email is a poor channel for sensitive risk disclosures. Portal collection with encryption and access controls may better support PHIPA reasonable safeguards.

Collect complete intake before session one

Hivi-X helps Ontario CRPO psychotherapists and counsellors collect informed consent, biopsychosocial forms, insurance cards, and telehealth consent with reusable checklists, a secure guest link (no account needed) or my-id.ca portal, self-hosted AI summaries, and exportable intake packages for Jane, Owl Practice, or your EMR.

Risk Screening Intake Documentation | hivi-x Docs