Patient Health Questionnaire (PHQ-4)
Use this secure form to administer the PHQ-4, a brief questionnaire that includes a 2-item anxiety scale (GAD-2) and a 2-item depression scale (PHQ-2) to screen for signs of anxiety and depression. Each submission is scored automatically. Perfect for streamlining assessments and showing clients you take their privacy seriously.
Form Template Preview
Submit this form to see what a completed submission looks like inside Hushmail:
Quick facts about this form
Who it's for:
- Therapists
- Counselors
- Psychologists
- Psychiatrists
- Behavioral health practices
Why use it:
- Monitor symptom severity before sessions
- Save time with automatic scoring
- Reduce compliance risk and admin work by replacing paperwork
- Protect client information with secure, HIPAA-compliant data handling
- Make it easy for clients with a digital form accessible anywhere
Where to use it:
- In an email before an appointment
- In your assessment workflow
- In follow-up emails
- In a welcome packet for new clients
If your client skips a required field, the form will prompt them to fill it out. No more chasing after clients to fill out missing info.
Your client’s submission will live in Hushmail, where you can keep all submissions secure and organized in folders.
You can also download a PDF of the submission if you want to file a separate copy elsewhere, like your EHR.
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1.
You give us the form(s) you’re currently using in your practice.
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You get a dedicated Customer Care rep to oversee the service and answer questions.
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You end up with custom secure web forms that are easy for your clients to fill out.
