CureMind Clinic — Practitioner Portal

Patient Contacts

Search by name, phone or email to view full patient details

Loading...

Sun

Mon

Tue

Wed

Thu

Fri

Sat

Upcoming Appointments

Loading appointments...

Session Notes

Fill this form after each session. Search patient first to auto-fill details.

Patient Lookup

Auto-filled Patient Info

Full Name

Date of Birth

Gender

Pronouns

Mobile Number

Email Address

Emergency Contact Name

Emergency Contact Phone

Session Details

Appointment Date

Session Number

Practitioner Name

Type of Session

Mode of Session

Recent Medications & Side Effects

Suicide / Self-Harm Assessment

Current suicidal thoughts?

Yes

Past suicidal thoughts?

Yes

Current suicidal plan?

Yes

Past suicide attempts?

Yes

Current self-harm thoughts?

Yes

Past self-harm thoughts?

Yes

Past self-harm behaviour?

Yes

If yes to any above, please provide details

Harm to Others

Current thoughts of harming someone else?

Yes

Past homicidal thoughts or attempts?

Yes

If yes, provide details

Safety

Did the client feel safe at home?

Yes

Is anyone hurting, threatening or controlling the client?

Yes

Any immediate safety concerns?

Yes

Details of safety concern

Additional Practical Questions

Substance use?

Yes

Currently seen a psychiatrist?

Yes

Legal, child protection, or court-related matters

Session Notes

Presenting Concern

Session Notes

Risk Review

Observations

Significant Triggers

Analysis

Techniques Used

Plan / Future Plan

Counsellor Reflection

Next Appointment

Practitioner Portal

Loading...

Appointment Details