| RPT |
.| .| Primary Care PTSD Screen| | Date Given: <.Date_Given.>| Clinician: <.Staff_Ordered_By.>| Location: <.Location.>| | Veteran: <.Patient_Name_Last_First.>| SSN: <.Patient_SSN.>| DOB:
<.Patient_Date_Of_Birth.> (<.Patient_Age.>)| Gender: <.Patient_Gender.>| | | PC PTSD Screen Score: <-PC PTSD Total->| | <*Answer_999999999999*>| | | Questions and Answers| | 1. Have had any nightmares about it or
thought about it when you did not want to?| <*Answer_3826*>| 2. Tried hard not to think about it or went out of your way to avoid situations that remind you of it?| <*Answer_3827*>| 3. Were
constantly on guard, watchful, or easily startled?| <*Answer_3828*>| 4. Felt numb or detached from others, activities, or your surroundings?| <*Answer_3829*>| | | Information contained in
this note is based on a self-report assessment and is not sufficient to use alone for diagnostic purposes. Assessment results should be verified for accuracy and used in conjunction with other
diagnostic activities and procedures.| $~
|
