Screening Form Library
Questionnaires available to your practice. A published form is offered automatically wherever screening forms are used: the Screening Forms Smart Tag in Nursing Workflow and Provider Encounter templates, the Add Screening Form dialog, and Patient Intake.
You can view the screening form library but not change it.
Creating, editing and publishing questionnaires requires the Screening Form Manager permission.
Questionnaires supplied and maintained by Medgre. A practice can activate or deactivate them, but the questions and scoring rules cannot be modified.
| Form Name | Form Type | Age Range | Respondent | Scoring | Version | Status | Last Updated | Actions |
|---|---|---|---|---|---|---|---|---|
PHQ-A (Patient Health Questionnaire for Adolescents) Psychiatric Nine-item adolescent depression screening, adapted from the PHQ-9 for patients 11-17 years. Scores 0-27 with cutoffs at 5, 10, 15 and 20. Rights review required | Medgre Standard | All ages | — | Scored | 1 | Published | 10/17/2026 | |
ADHD Screening: ASRS v1.1 (Adults 18+) Psychiatric WHO Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist, self-completed by the patient. 18 items rated Never to Very Often; the 6 Part A items are the validated screener. A result of 4 or more Part A items rated Sometimes or more often indicates symptoms highly consistent with ADHD and warrants further investigation. For adults 18 and older. Rights review required | Medgre Standard | All ages | — | Scored | 1 | Published | 10/17/2026 | |
ADHD Screening: Vanderbilt (Children 6-12) Psychiatric NICHQ Vanderbilt Assessment Scale, Parent Informant (revised 1102). 47 symptom items across inattention, hyperactivity/impulsivity, oppositional defiant, conduct and anxiety/depression domains, plus 8 performance items. Cutoffs: 6 of 9 inattention or hyperactivity items scored Often/Very Often, 4 of 8 oppositional, 3 of 14 conduct, 3 of 7 anxiety/depression, each requiring a 4 or 5 on at least one performance item. For children ages 6-12. Rights review required | Medgre Standard | All ages | — | Scored | 1 | Published | 10/17/2026 | |
PHQ-9 (Patient Health Questionnaire) Psychiatric 9-item depression screening tool to assess severity of depressive symptoms Rights review required | Medgre Standard | All ages | — | Scored | 1 | Published | 1/16/2026 | |
MDQ-5 (Mood Disorder Questionnaire) Psychiatric Brief screening tool for bipolar spectrum disorders Rights review required | Medgre Standard | All ages | — | Scored | 1 | Published | 1/16/2026 | |
UBI-9 (Utility of Brief Screening) Psychiatric Brief screening tool for multiple psychiatric conditions Rights review required | Medgre Standard | All ages | — | Non-scored | 1 | Published | 1/16/2026 |
Medgre Standard forms are only distributed where the rights to supply the questionnaire electronically have been confirmed. Any form flagged for review stays available for administrative review until that status is settled.